Laparoscopically assisted colorectal anastomose post-Hartmann's procedure

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Laparoscopic colorectal anastomosis is an evolving surgical technique.
• Assessing outcomes of this procedure is crucial for clinical practice.
• Minimally invasive approaches aim to reduce patient morbidity.

Purpose of the Study:

• To evaluate the safety and efficacy of laparoscopically assisted colorectal anastomosis.
• To report on perioperative outcomes, including complications and recovery time.
• To analyze conversion rates and reasons for conversion to open surgery.

Main Methods:

• Retrospective case series of 20 patients undergoing laparoscopically assisted colorectal anastomosis.
• Data collected on patient demographics, operative details, and postoperative outcomes.
• Analysis of transoperative and postoperative complications, pain levels, and hospital stay.

Main Results:

• Mean patient age was 52.8 years; 10 men and 10 women. Mean procedure length was 130 minutes.
• Two transoperative complications: rectal perforation and incomplete anastomosis.
• Postoperative complications occurred in 41.1% of cases; no mortality.
• Mean recovery times: bowel sounds at 18.2h, flatus at 26.4h, bowel movement at 2.5 days.
• Mean hospital stay was 4 days; liquid diet initiated at 1.5 days.
• Conversion rate was 15% due to pelvic adherence, neoplastic invasion, or rectal perforation.

Conclusions:

• Laparoscopically assisted colorectal anastomosis is a viable procedure with a manageable complication profile.
• The technique demonstrated a short hospital stay and no operative mortality in this cohort.
• Further research may optimize patient selection and surgical technique to minimize complications.