Application of laparoscopic technique in the treatment of traumatic colorectal perforation / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To explore the efficacy and the security of laparoscopic technique in patients with traumatic colorectal perforation.</p><p><b>METHODS</b>Clinical data of 42 patients with traumatic colorectal perforation in our hospital during March of 2005 to March of 2013 were retrospectively analyzed. Twenty-two patients received traditional open operation, and 20 patients received laparoscopic treatment.</p><p><b>RESULTS</b>As compared to open group, laparoscopic group had shorter operation time [(72 ± 36) min vs. (128 ± 52) min], less blood loss during operation [(21.2 ± 3.6) ml vs. (62.6 ± 8.8) ml], faster postoperative bowel function return[(1.7 ± 0.6) d vs. (3.5 ± 1.2) d], shorter hospital stay after operation [(7.3 ± 1.8) d vs. (13.6 ± 3.9) d], and lower incidence of postoperative complication [35.0% (7/20) vs. 72.7% (16/22)]. The differences between two were statistically significant (all P<0.05).</p><p><b>CONCLUSION</b>Laparoscopic operation has advantages in the treatment of traumatic colorectal perforation with short operation time, small trauma, rapid recovery and low incidence of complications.</p>