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Laparoscopic colo-rectal surgery: analysis of 113 cases
J Boulez1, P Espalieu, E Fontaumard
1Department of General and Digestive Surgery, Hopital Edouard Herriot, Lyon, France.
Hepato-Gastroenterology
|January 1, 1997
Summary
Laparoscopic colorectal surgery is feasible with acceptable complication rates, particularly for benign conditions and early-stage cancers. Further assessment is recommended for advanced cancer treatment.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Colorectal Surgery
Background:
- Presents five years of experience with laparoscopic colorectal surgery.
- Details 113 procedures performed between October 1990 and February 1996.
Purpose of the Study:
- To evaluate the feasibility and outcomes of laparoscopic colorectal surgery.
- To determine appropriate indications for the procedure.
Main Methods:
- Review of 113 laparoscopic colorectal procedures.
- Analysis of indications including cancer, diverticulosis, and benign tumors.
- Categorization of surgical procedures performed.
Main Results:
- 14% operative complications, 6% conversion to laparotomy, 14% postoperative complications.
- 1.7% overall mortality and 7% reoperation rate.
- Favorable outcomes for DUKES A cancers, with no recurrence; 2 recurrences in DUKES B/C; all DUKES D patients deceased.
Conclusions:
- Laparoscopic colorectal surgery is technically feasible with an acceptable complication rate.
- Best indications include benign disorders (polyps, diverticulosis) and early-stage (DUKES A) cancers.
- The procedure warrants assessment for curative excision in DUKES B or C disease.