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Outcome of laparoscopic colorectal resection
M Degiuli1, M Mineccia, A Bertone
1Department of Oncology, Division of Surgery, San Giovanni Battista di Torino Hospital, Via Cavour 31, 10123 Turin, Italy. mdegiuli@hotmail.com
Surgical Endoscopy
|January 31, 2004
Summary
Laparoscopic colorectal surgery (LCP) is a safe and feasible option for treating large bowel diseases. This study found low rates of complications and mortality, suggesting it compares favorably to open surgery.
Area of Science:
- Minimally Invasive Surgery
- Colorectal Surgery
- Surgical Oncology
Background:
- Assessing the feasibility and safety of laparoscopic colorectal procedures (LCP) for various colorectal diseases.
- Evaluating the learning curve and outcomes over time in a single-center experience.
Purpose of the Study:
- To determine the safety and efficacy of LCP for colorectal diseases.
- To analyze conversion rates, postoperative complications, and mortality associated with LCP.
- To compare LCP outcomes with historical data for open colorectal surgery.
Main Methods:
- Retrospective review of 108 patients undergoing LCP between 1996 and 2001.
- Categorization of patients into three chronological groups to assess learning curve effects.
- Data collection included conversion rates (proper and mandatory), early/late complications, operative mortality, and hospital stay.
Main Results:
- Overall morbidity was 11.9% with no anastomotic leaks; 1.85% required reoperation.
- Conversion to open surgery occurred in 4.6% (proper) and 9.2% (mandatory for advanced cancer).
- Rates of conversion and complications decreased over time; no trocar site recurrences in cancer patients; zero operative mortality.
Conclusions:
- Laparoscopic colorectal surgery is safe and feasible when performed by experienced teams in specialized centers.
- Observed morbidity and mortality rates are low and acceptable, comparing favorably to open surgery.
- The technique demonstrates a favorable learning curve with improving outcomes over time.