PMID- 17854291
OWN - NLM
STAT- MEDLINE
DCOM- 20080107
LR  - 20070914
IS  - 1462-8910 (Print)
IS  - 1462-8910 (Linking)
VI  - 9
IP  - 8
DP  - 2007 Oct
TI  - Laparoscopic colorectal surgery - results from 200 patients.
PG  - 701-5
AB  - OBJECTIVE: Laparoscopic surgery is increasingly being performed for benign and 
      malignant colorectal disease. This study examines the short-term results in a 
      consecutive series of laparoscopic colorectal procedures performed over 2 years. 
      METHOD: A prospective database was established for all elective patients 
      undergoing laparoscopic colorectal surgery by one surgeon. The main outcome 
      measures assessed were operative duration, conversion rate, length of hospital 
      stay, morbidity and mortality and lymph node harvest. RESULTS: Two hundred and 
      thirty-one consecutive patients were referred for elective colorectal surgery, 
      with 18 patients excluded from laparoscopic surgery. Thirteen patients had 
      nonresective laparoscopic colorectal procedures for endometriosis and have been 
      excluded from the series. Of 200 patients who underwent a laparoscopic colorectal 
      procedure, 114 (57%) were female, the median age was 67 years (inter-quartile 
      range (IQR) 57-76), and there were 116 malignancies. The most common operations 
      were anterior resection and sigmoid colectomy (n = 82), right hemicolectomy (n = 
      62) and left hemicolectomy (n = 12). The median operating time was 120 min (IQR 
      90-150) and 10 patients (5%) required conversion to open surgery. The median 
      lymph node harvest in malignancies was 21 nodes (IQR 15-30) and no positive 
      resection margins were found. There were two deaths and 29 significant 
      complications (14.5%), with seven patients requiring re-operations because of 
      postoperative complications. The median postoperative hospital stay was 4 days 
      (IQR 3-6) and 13 patients (6.5%) were re-admitted within 30 days of hospital 
      discharge. CONCLUSION: Laparoscopic colorectal surgery is possible for most 
      benign and malignant conditions, with low conversion and complication rates, as 
      well as short hospital stay.
FAU - Scala, A
AU  - Scala A
AD  - Minimal Access Therapy Training Unit, Royal Surrey County Hospital, Guildford, 
      Surrey, UK.
FAU - Huang, A
AU  - Huang A
FAU - Dowson, H M P
AU  - Dowson HM
FAU - Rockall, T A
AU  - Rockall TA
LA  - eng
PT  - Journal Article
PL  - England
TA  - Colorectal Dis
JT  - Colorectal disease : the official journal of the Association of Coloproctology of 
      Great Britain and Ireland
JID - 100883611
SB  - IM
MH  - Aged
MH  - Colonic Diseases/diagnosis/surgery
MH  - *Endoscopy, Gastrointestinal
MH  - Humans
MH  - Middle Aged
MH  - Postoperative Care
MH  - Prospective Studies
MH  - Rectal Diseases/diagnosis/surgery
EDAT- 2007/09/15 09:00
MHDA- 2008/01/08 09:00
CRDT- 2007/09/15 09:00
PHST- 2007/09/15 09:00 [pubmed]
PHST- 2008/01/08 09:00 [medline]
PHST- 2007/09/15 09:00 [entrez]
AID - CDI1198 [pii]
AID - 10.1111/j.1463-1318.2006.01198.x [doi]
PST - ppublish
SO  - Colorectal Dis. 2007 Oct;9(8):701-5. doi: 10.1111/j.1463-1318.2006.01198.x.