Laparoscopic Colorectal Resections: the Initial Experience

Abstract

Background: Since the laparoscopic approach have been accepted in the major clinical trials, the adoption of laparoscopy in the field of colorectal surgery began in our surgical clinic. The aim of the study - to investigate the immediate results of laparoscopic colorectal procedures. Methods: Retrospective study were done from the period of 2010-2012. The endpoints were demographical, clinical, intraoperative and pathomorphological. Results: 30 patients were included to the study. 27 patients has colorectal cancer, 3 patients - diverticular disease. Among them - 6 cases of right colectomy (RC) were performed, 10 - cases of left colectomy (LC), 7 cases of anterior resection (AR), 4 cases of low anterior resection (LAR), 2 cases of abdomino-perineal resection (APR) and one - restorative total colproctectomy with IPAA (TCP). The mean operative time was 184 (57) min for RC, 182 (±50), 220(±60), 305(±43), 335(±21) and 355 min respectively. The estimated blood loss was 123(±53), 145(±62), 157(±32), 232(±25), 280(±50) and 150 ml respectively. The mean length of stay was 6(±1,5), 9(±2,1), 5(±2,3), 12(±5,2), 12 (±6,3) and 6 days respectively. The morbidity rate was 4(13,3%) cases - wound infection, urogenital infection and anastomositis. There was no mortality. Conclusion: Laparoscopic colorectal procedures even in the early learning curve period presents acceptable intraoperative and surgical results.