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  • Minimally invasive colorectal surgery = Minimalno invazivna kolorektalna kirurgija
    Szinicz, G. ...
    Background. Although nine years have passed since the minimally invasive technique was first used in colorectal surgery, this method still arouses controversy at present. On the basis of our ... experience with 251 laparoscopic and laparoscopically assisted colorectal operations, we have attempted to appraise the current status in this field. Methods. We analysed restrospectively the morbidity and mortality. 5-year survival, operating time,percentage of conversions and duration of hospital stay. Minimally invasive colorectal opeations were compared with classical operations performed in the same period, with data from the literature and with our results from the years 1990-1991. Special emphasis was placed on oncologic resections. Results. From March 1992 to August 1998, five surgeons performed 251 laparoscopically assited colorectal operations, which represented 62% of the total of 402 colorctal procedures performed in that period. The average age of the patients was 62 years (21-88). Benign diseases were present in 137 patients and malignant ones in 114. The overall complications rate was 23.5%, including a low subset of non-surgical complications (7.2%). Only one patient died after laparoscopy. So laparoscopy carried a mortality rate of 0.4%, whereas the mortality of all 402 patients was 3.7%, and that of cancer patients was 4.5%. The everage operating time was 135 minutes (65-210); a coloproctomucosectomy that lasted 405 minutes is not included in this figure. Conversion to the classical technique was necessary in 8 cases (3.2%). Fifty-nine cancer patients had the following 5-year survival rates: Dukes A (n=9) 100%, B(11) 82%, C(17) 35%, D(21) 9%. Conclusions. Compared to the published results, our data are quite satisfactory, especially with regard to mortality, non-surgical complications, the number of conversions, operating time and the duration of hospital stay. (Abstract truncated at 2000 characters).
    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. 4, št. 9, okt. 1999, str. 81-91)
    Vrsta gradiva - članek, sestavni del
    Leto - 1999
    Jezik - angleški
    COBISS.SI-ID - 10912217

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