ABSTRACT
Most colorectal procedures can be done laparoscopically, as has been described by many authors. In the first 5 years of colorectal laparoscopic surgery, many complications have ensued, such as intestinal perforation, bleeding, infection, anastomotic leakage, and dehiscence. In 146 patients who underwent laparoscopic procedures from December 1991 to August 1996, 92 colorectal resections were performed. Most resections were performed for malignant diseases (48.9%) and the most common surgical procedure was rectosigmoidectomy (32.6%). Sixty-six patients (71.7%) were female, and the mean age was 59.4 years. Transoperative complications occurred in three patients (3.3%): one sigmoid perforation, one rectal perforation, and one case of left ureter transection. Postoperative complications occurred in 24 patients (29.3%): anastomotic leakage (4), intestinal perforation (1), incisional hernia (4), wound infection (8), shoulder pain (1), dehiscence of perineal wound (4), and colostomy necrosis (2). We concluded that laparoscopic colorectal resection is a safe surgical method and that the rate of complications is similar to that of the conventional method.
Subject(s)
Colectomy/adverse effects , Intestinal Diseases/surgery , Laparoscopy/adverse effects , Postoperative Complications/classification , Adult , Aged , Equipment Failure , Female , Follow-Up Studies , Humans , Incidence , Length of Stay , Male , Middle Aged , Pain/etiology , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Prognosis , ReoperationABSTRACT
We present 20 cases (10 men, 10 women) of laparoscopically assisted colorectal anastomose. The patients' mean age was 52.8 years. The mean length of procedure was 130 min. There were two transoperative complications, a rectal perforation with the stapler and an incomplete anastomose. Six (35.2%) patients said they had no postoperative pain. Bowel sounds occurred in a mean time of 18.2 h, flatus in 26.4 h, and bowel movement in an average of 2.5 postoperative days. Liquid diet was started after an average of 1.5 days, and the mean hospital stay was 4 days. There were three (15%) conversions because of excessive pelvic adherence, pelvic neoplastic invasion, and rectal perforation with a stapler. Postoperative complications occurred in seven (41.1%) cases: an incisional hernia, two wound infections, one wound bleeding, an acute renal failure, an undetermined peritonitis, and a small pelvic abscess. No mortality occurred in these cases.
