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Abstract : |
Many surgeons were performing laparoscopic approach for colo-rectal surgery from at least 10 years. Even some reported results were â€â€excellentâ€‌, there are discussions about this subject. I performed a review of the literature; I found 11 randomised studies wich compared laparoscopic vs. open colectomies. Fesability of laparoscopic technique was established by a randomised multi-center study: operation time was increased with about one hour (vs. open surgery) and conversion rate was 15 - 16%. The technique is difficult and conversion rate decreased with experience of the surgeon. Postoperative course was better in laparoscopic surgery (from point of view of postoperative pain, postoperative ileus, respiratory complications, hospital stay and quality of life). Laparoscopic colo-rectal surgery is more expensive that open technique. In all this papers, I didn’t find significant “oncologicâ€‌ difference between laparoscopic and open colo-rectal resections. Conclusions: laparoscopic colectomies are safe for experienced surgeons; laparoscopic technique is indicated in selection cases. , |
