Laparoskopska kirurgija širokega črevesa v SB Slovenj Gradec
Laparoscopic colon surgery in the Slovenj Gradec general hospital

slovenian

2006

volume 11, issue 25

Colonic Diseases   Surgery    Colonic Neoplasms    Laparoscopy    Treatment Outcome

Slovensko zdravniško društvo, Združenje za endoskopsko kirurgijo

Background. This article presents our experience with laparoscopic operations of the colon performed at the Department of General and Abdominal Surgery, Slovenj Gradec General Hospital, in the past five years (2001-2005). In patients selected for laparoscopic surgery during this period, laparocopy was converted to an open procedure as soon as operative problems with the minimally invasive approach arose. Patients and methods. We operated on 63 patients, 27 females and 36 males, aged 24 to 84 years. Large bowel malignomaswere diagnosed in 32 patients, and benign lesions of the colon in 31. In the group operated on for benign colon diseases, 26 patients underwent resection, three adhesiolysis and two rectopexy. Among the patients operated on for large bowel malignomas, three received a paliative procedure, six righthemicolectorny, two left hemicolectomy, 12 low anterior resection and nine segmental resection. The principles of oncologlic surgery were followed in all patients operated on for malignant diseases. Results. Conversions were reguired in 11 (17%) cases: in two patients with benign lesions and in nine with malignant disease. Postoperative complications occurred in nine (14.3%) patients reguiring reoperation: three for dehiscence, two for ileus, one for stenosis, one for rectovaginal fistula, one for intraabdominal sbsces, and one, or peritonitis. At the time of reporting, 25 (78%) of the 32 patients operated on for colon cancer were free of symptoms. There were no recurrences;disease progression was noted in three patients; four patients died. Conclusions. Our results indicate that laparoscopic colon surgery is a technically feasible and effective operative procedure. (Abstract truncated at2000 characters)

16.09.2009