Medicinski vjesnik, Vol. 25 No. (1-2), 1993.
Professional paper
Laparoscopic resection of the colon
Ivo Baća
Christian Schultz
V Gottzen
Goran Kondža
Abstract
The successful application of laparoscopic surgery to gallblader disease and acute appendicitis has encouraged clinical investigators to develop this technology further in treatment of the gastrointestinal tract. After gaining experience with various laparoscopic skills while performing clinical range of laparoscopic procedures and then in controlled animal laboratory, a program for laparoscopic colonic surgery was initiated 12 months ago. 30 patient went laparoscope assisted colon resection. In 14 patients resection of sigmoid colon was performed, left hemicolectomy in 7, a right hemicolectomy in 3, anterior rectum resection in 2, and one Hartmann’s procedure. In 3 patients colon anastomosis after Hartmann’s procedure was established. Indications for surgery was diverticular disease in 14 patients, sigma carcinoma in 7, caecumcarcinom in 3, colon ascendens carcinoma in 1, rectum carcinoma in 2, perforated diverticulum in one patient. There was 4 postoperative complications, one manifest anastomosis insufflcienty, one postoperative bleeding and 2 wound infections of mini-laparotomy. There was no postoperative ileus, all patients were able to tolerate liquid diet on the first postoperative day. One patient had lethal course because of septic complications. There was three conversions from laparoscopic to open surgery, and every time because of bleeding adhesions. Nine patients were operated of cancer, limph node numbers harvested was not smaller in average than in conventional surgery. We fell that laparoscopic colectomy has the potential to be as popular as laparoscopic surger.
Keywords
colon resection; colon cancer; laparoscopic colectomy
Hrčak ID:
194012
URI
Publication date:
1.12.1993.
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