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Laparoscopic colorectal procedures: a multicenter Brazilian experience.
F S Regadas1, J R Ramos, J V Souza
1Brazilian Registry.
Summary
Brazilian colorectal laparoscopic procedures involving 1,161 patients showed a 3.6% perioperative complication rate and a 12.7% postoperative complication rate. The study highlights outcomes of minimally invasive colorectal surgery in Brazil.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Background:
- The Brazilian Society of Colo-Proctology initiated a multicenter prospective protocol to evaluate laparoscopic colorectal procedures.
- Laparoscopic colorectal surgery has become increasingly common, necessitating data on its outcomes.
Purpose of the Study:
- To present an evaluation of the results from Brazilian laparoscopic colorectal procedures.
- To analyze complication rates, operative times, and hospitalization periods for these procedures.
Main Methods:
- A multicenter prospective protocol was conducted from December 1991 to August 1998.
- Data from 1,161 patients undergoing laparoscopic colorectal surgery were collected and analyzed.
Main Results:
- Most procedures (40.5%) were for cancer, with anterior resection being the most common (22.5%).
- Mean operative time was 189 minutes. Perioperative complications occurred in 3.6% of cases (visceral injuries 1.4%), and conversions in 10.5%.
- Postoperative complications were observed in 12.7% of cases (wound infections 5.2%). Mean time to liquid diet was 1.4 days, with a mean hospitalization of 6.4 days.
Conclusions:
- Laparoscopic colorectal surgery in Brazil, during the study period, demonstrated acceptable complication rates and short hospitalization stays.
- The findings support the feasibility and safety of laparoscopic approaches for various colorectal conditions, including cancer.