Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 21 august 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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NUMARUL 3, VOL. 1, 2005

ARTICOLE DE SINTEZA - REVIEW

LAPAROSCOPIC APPROACH IN COLO-RECTAL SURGERY FOR CANCER: IS IT LAWFULL ?
C. Gouillat
Département de chirurgie, Hotel Dieu, C.H.U. Lyon, France
Jurnalul de chirurgie 2005; 1 (2):165-171
Full text: Format PDF (French)

Abstract

Many surgeons were performing laparoscopic approach for colo-rectal surgery from at least 10 years. Even some reported results were „excellent”, there are discussions about this subject. I performed a review of the literature; I found 11 randomised studies wich compared laparoscopic vs. open colectomies.

Fesability of laparoscopic technique was established by a randomised multi-center study: operation time was increased with about one hour (vs. open surgery) and conversion rate was 15 - 16%. The technique is difficult and conversion rate decreased with experience of the surgeon. Postoperative course was better in laparoscopic surgery (from point of view of postoperative pain, postoperative ileus, respiratory complications, hospital stay and quality of life).

Laparoscopic colo-rectal surgery is more expensive that open technique. In all this papers, I didn’t find significant “oncologic” difference between laparoscopic and open colo-rectal resections.

Conclusions: laparoscopic colectomies are safe for experienced surgeons; laparoscopic technique is indicated in selection cases.

KEYWORD: LAPAROSCOPIC COLECTOMY, FESABILITY, COLO-RECTAL SURGERY, QUALITY OF LIFE

Correspondence: Prof. Dr. Christian Gouillat, Département de chirurgie, Hotel Dieu, 1 place de l’Hôpital, 69288 LYON CEDEX 02, C.H.U. Lyon, France, e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.