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Laparoscopically assisted bowel surgery. Analysis of 114 cases
J G Tucker1, W L Ambroze, G R Orangio
1Department of Surgery, Georgia Baptist Medical Center, Altanta 30312, USA.
Surgical Endoscopy
|March 1, 1995
Summary
Laparoscopic colorectal surgery offers a safe and effective alternative to traditional open surgery. This approach allows for quicker recovery and return to normal activities with minimal complications.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Background:
- Laparoscopic surgery is increasingly adopted for colorectal resections.
- Assessing the safety and efficacy of laparoscopic bowel procedures is crucial for clinical decision-making.
Purpose of the Study:
- To retrospectively analyze the outcomes of the initial 114 laparoscopic assisted bowel procedures.
- To determine the risks, benefits, and feasibility of laparoscopic colorectal surgery.
Main Methods:
- Retrospective analysis of 114 laparoscopic assisted bowel procedures.
- Procedures included partial colectomy, total/subtotal colectomy, proctocolectomy, and diverting procedures.
- Data collected on conversion rates, return to oral intake, bowel function, length of stay, return to activity, morbidity, and costs.
Main Results:
- 13.2% conversion rate to laparotomy.
- Early return to oral feeding (2.4 days) and bowel function (3.8 days).
- Average length of stay ranged from 4.2 to 6 days; mean return to activity was 16.7 days.
- No deaths; 6% major morbidity (abscess, anastomotic leak, hemorrhage).
- Laparoscopic colectomies had higher initial operative costs but lower total hospital costs.
Conclusions:
- Laparoscopic colorectal resection is a viable alternative to laparotomy for various conditions.
- The laparoscopic approach facilitates an early return to normal patient activity.
- This minimally invasive technique demonstrates acceptable safety and efficacy in colorectal surgery.