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  • Laparoscopic-assisted colorectal surgery = Laparoskopsko asistirana kirurgija širokega črevesa in danke
    Baca, Ivo ; Schultz, Christian ; Götzen, Volker
    A prospective stady was performed to evaluate the safety and effectiveness of laparoscopic-assisted colorectal surgery for benign and malignant diseases. The operation was completed laparoscopically ... in 196 of the 210 patients operated on since 1993 (conversion rate 6.7%). The operations included hemicolectomies, sigmoid resections, low anterior (conversion rate 6.7%). The operations included hemicolectomies, sigmoid resections, low anterior resections, abdominoperineal resections, Hartmann's closures, proctocolectomies and rectopexies. One hundred of the successfully completed cases were operated on for benign, and 96 for malignant diseases. The average operating time was 140+-55 min, and the duration of postoperative hospital stay 12+-6 days. Oral food intake was started on the second postoperative day without major problems. Perioperative complications occurred in 35 cases (18%). There were 7 anastomotic leaks (3.6%), 13 wound infections (6.6%), one pneumothorax and 3 postoperative bleedings, 2 of which reguired reoperation. Four patients died as a consequence of anastomotic leaks, and 3 of other causes (mortality 3.6%). This series showed a considerably faster recovery, decreased postoperative pain and reduced complication rate as comapred to patients undergoing conventional surgeru. The number of lymph nodes harvested (average 11+-4), aadequate resection marigns and the size of resected specimens in patients with malignant condition indicate that laparoscopic-assisted colorectal surgery and conventional surgery follow similar oncologic criteria. Furthermore, no rise in the recurrence rate was observed during the follow-up period compared to conventional surgery. Reducedmorbidity, less abdominal pain and faster recovery are the main arguments in favor of laparoscopic-assisted colorectal surgery.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 3, št. 5, apr. 1998, str. 9-17)
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - angleški
    COBISS.SI-ID - 7991513

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