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Feasibility of colectomy with mini-incision
1Division of Colon and Rectal Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan. tzuchi@ms2.mmh.org.tw
American Journal of Surgery
|June 24, 2005
Summary
Mini-incision colectomy using a less than 7 cm incision is feasible for most colorectal diseases. This approach offers advantages like lower cost and tactile exploration without prolonging operation time.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic colectomy is favored for colon and rectal diseases due to smaller incisions.
- The study evaluates the feasibility of mini-incision colectomy and its capacity for adequate peritoneal exploration.
Purpose of the Study:
- To assess the efficacy of mini-incision colectomy (≤7 cm incision) for various colorectal conditions.
- To determine if mini-incision allows for complete exploration of the peritoneal cavity.
Main Methods:
- Analysis of 316 patients undergoing colectomies with incisions <7 cm from 2000-2003.
- All procedures performed by a single surgeon, with no laparoscopic instruments or specialized ports used.
- Patient demographics and diverse colorectal pathologies (carcinoma, tumors, inflammatory conditions) were recorded.
Main Results:
- The study included 316 patients (153 male, 163 female) aged 19-90 years.
- Complications included infections, obstructions, and anastomotic leaks; mortality was low (8/316).
- Small incisions did not increase operation time, and full peritoneal exploration was consistently achieved.
Conclusions:
- Mini-incision colectomy (≤7 cm) is a viable option for most colorectal resections.
- This technique offers benefits such as reduced cost, faster procedures, and retained tactile sensation for exploration.
- The incision length is comparable to laparoscopic colectomy when trocar sites are considered.