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[Laparoscopic sigmoid resection].

F Corcione1, T Cusano, F Pirozzi

  • 1UOC di Chirurgia Generale e Centro di Chirurgia Laparoscopica, A. O. Monaldi, Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione, Napoli, Italy.

Minerva Chirurgica
|November 7, 2003
PubMed
Summary
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Laparoscopic sigmoid resection for colon cancer offers benefits with acceptable risks. This minimally invasive approach for colon lesions shows promising outcomes in patient recovery and long-term results.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Laparoscopic surgery for colon lesions has advanced significantly since the early 1990s.
  • Concerns remain regarding metastasis spread, patient benefits, and cost-effectiveness of laparoscopic colectomy.
  • Evaluating the safety and efficacy of laparoscopic sigmoid resection is crucial.

Purpose of the Study:

  • To present the authors' experience with laparoscopic sigmoid resection for benign and malignant colon pathologies.
  • To assess the outcomes, including morbidity, mortality, and long-term results, of laparoscopic sigmoidectomy.
  • To compare the benefits and risks of laparoscopic versus open surgery for colon diseases.

Main Methods:

  • A retrospective analysis of 101 laparoscopic sigmoid resections performed between September 1998 and August 2002.

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  • Patients included those with benign and malignant sigmoid pathologies.
  • Data collected on operating time, postoperative stay, complications, and follow-up.

    • Main Results:

    • Average operating time was 130 minutes, with an average hospital stay of 10.2 days.
    • Early recovery observed with transit resuming in 24-48 hours and feeding after 3 days.
    • Complications included 2 ventral hernias, 1 trocar site metastasis, 2 local relapses, and 1 parietal metastasis.

    Conclusions:

    • Laparoscopic sigmoid resection can be performed with acceptable morbidity and mortality rates.
    • The technique demonstrates feasibility for both benign and malignant colon diseases.
    • Long-term follow-up indicates a manageable risk profile for laparoscopic colectomy.