Development of Minimally Invasive Colo-Rectal Resection in a University Surgery Service
Abstract
Introduction: Although current evidence widely supports the laparoscopic approach for resections of
the colon and rectum according to their safety and oncological results, the development and adoption of this
technique has been slow and even today is not routine in most centers. Here, we show preliminary data
obtained in the Surgical Clinic 2 of the Maciel Hospital.
Methods: A retrospective study comprising 41 laparoscopic resections in the period 2016-2018.
Results: The mean operative time was 3 hours for colectomies and 4 hours for rectal resections. The conversion
rate was 10%, the suture failure was 12% and the 30-day mortality was 13%.
Discussion: The laparoscopic approach for colectomy and rectal resection is safe and with acceptable
oncological results according to our results. The learning curve is based on the annual volume of surgeries, the
performance of other advanced laparoscopy procedures and training in simulators.
Conclusions: our experience shows immediate results similar to those reported in the national literature,
although the follow-up time is still insufficient to analyze the long-termoncological results.
Keywords: Colectomy, Rectal Resection, Laparoscopy, Laparoscopic Surgery
Downloads
Copyright (c) 2021 Javier Chinelli Ramos, Juan M. Costa, Gustavo Rodríguez Temesio
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain their copyright and assign to the journal the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution 4.0 International License. that allows sharing the work as long as the initial publication in this magazine is indicated.
