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[Experience of reconstructive laparoscopic procedures in patients with terminal colostomy]

I A Matveev¹, D T Khassiya², B K Gibert¹

¹Tyumen State Medical University of Healthcare Ministry of Russia, Tyumen, Russia.

|June 29, 2018

Abstract

Aim:

To analyze the ways and terms of training for laparoscopy-assisted reconstruction operations via learning curves analysis and to compare the outcomes obtained both during training for technique and after that.

Material And Methods:

There were 93 reconstructive laparoscopic procedures in 58 (62.36%) patients with terminal colostomy. All patients were operated by the same surgeon. Learning curves have been created and analyzed.

Results:

Analysis showed that all surgical features are achieved by the 30^th intervention indicating the end of learning period. Significantly less surgical trauma has been observed along with development of surgery.

Conclusion:

Improved results are achieved by reduced dissection of adhesions, the use of mechanical suture for intestinal anastomosis and increased number of anastomoses made in intracorporeal fashion.

Keywords:

intracorporeal and extracorporeal anastomosis laparoscopic reconstructive procedures learning curves learning period terminal colostomy time of operation and adhesions dissection

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