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Laparoscopic colorectal resection. A multicenter Italian study

C Huscher1, G Silecchia, E Croce

  • 1Divisione di Chirurgia Generale, Presidio Ospedoliero di Valle Comonica, Esine, Breslia.

Surgical Endoscopy
|September 1, 1996
PubMed
Summary
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Laparoscopic colorectal surgery shows promise for minimally invasive treatment, with a 10.5% conversion rate and acceptable outcomes. Further long-term studies are needed to confirm its efficacy for colorectal cancer.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Retrospective evaluation of laparoscopic colorectal surgery across six surgical units.
  • Focus on patient selection criteria and exclusion of advanced tumors, perforation, and ascites.
  • Obesity was considered a relative contraindication by participating surgeons.

Purpose of the Study:

  • To assess the feasibility and outcomes of laparoscopic colorectal surgery.
  • To analyze key surgical metrics including conversion rates, operative time, and patient recovery.
  • To evaluate the safety and efficacy of the technique in a multi-center setting.

Main Methods:

  • Analysis of 200 patients undergoing laparoscopic colorectal resection for benign or malignant lesions between November 1991 and January 1994.

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  • Data collected included indications, conversion rates, operative time, morbidity, mortality, gastrointestinal function recovery, lymph node yield, and hospital stay.
  • Specific exclusion criteria were applied regarding tumor stage, perforation, and ascites.

    • Main Results:

    • A 10.5% conversion rate to open surgery was observed.
    • Mean operative times were 208 minutes for assisted and 275 minutes for complete laparoscopic resections.
    • Mortality rate was 1.7%, overall morbidity 19.6%, with prompt recovery of gastrointestinal function and reduced postoperative pain compared to converted cases.

    Conclusions:

    • Laparoscopic colorectal surgery presents a minimally invasive treatment option.
    • The study highlights the need for extended long-term follow-up to fully ascertain the efficacy of this approach for colorectal cancer treatment.
    • Early results indicate potential benefits in patient recovery and pain management.