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Role of laparoscopy in colorectal surgery A prospective evaluation of 200 cases

  • Original Contributions
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Diseases of the Colon & Rectum

Abstract

PURPOSE: The aim of this study was to prospectively evaluate the role of laparoscopic-assisted surgery in patients presenting for routine colorectal surgical procedures. METHODS: Two hundred consecutive patients were assessed for the possible use of laparoscopic surgery. The decision regarding suitability of the patient for the procedure was made by the operator. For the purpose of analysis, patients were assigned to open, converted, and laparoscopic groups. RESULTS: Ninety-five of 200 patients were considered appropriate for laparoscopic surgery, 62 (65.3 percent) being successfully completed. These completed operations included right colectomy (24/30), sigmoid colectomy (22/36), appendectomy (9/10), anterior resection (3/8), abdominoperineal resection (3/5), and left colectomy (1/2). Complications attributable to laparoscopy were infrequent (6.3 percent) and were not responsible for any deaths. Patients in the laparoscopic group required less analgesia, tolerated oral intake earlier, and were discharged from the hospital earlier than those who were converted or who had open procedures. CONCLUSIONS: Laparoscopic assisted surgery is safe, effective, and applicable to many of the standard colorectal procedures. Observed benefits include less postoperative pain and shorter hospital stay.

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Author notes

  1. Jose M. Ramos M.D.

    Present address: Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, South Africa

Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, University of Southern California, Los Angeles, California

    Jose M. Ramos M.D.,  Robert W. Beart Jr. M.D., Ricardo Goes M.D., Adrian E. Ortega M.D. & Richard T. Schlinkert M.D.

  2. Mayo Clinic Scottsdale, Scottsdale, Arizona

    Jose M. Ramos M.D.,  Robert W. Beart Jr. M.D., Ricardo Goes M.D., Adrian E. Ortega M.D. & Richard T. Schlinkert M.D.

Authors
  1. Jose M. Ramos M.D.
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  2. Robert W. Beart Jr. M.D.
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  3. Ricardo Goes M.D.
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  4. Adrian E. Ortega M.D.
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Additional information

Read in part at the meeting of The American Society of Colon and Rectal Surgeons, Orlando, Florida, May 8 to 13, 1994.

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Ramos, J.M., Beart, R.W., Goes, R. et al. Role of laparoscopy in colorectal surgery A prospective evaluation of 200 cases. Dis Colon Rectum 38, 494–501 (1995). https://doi.org/10.1007/BF02148849

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