Clinical application of laparoscopy-assisted total proctocolectomy using medial-to-lateral approach / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 32-35, 2013.
Article
in Zh
| WPRIM
| ID: wpr-314864
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the safety and feasibility of laparoscopy-assisted total proctocolectomy using medial-to-lateral approach.</p><p><b>METHODS</b>Between October 2005 and January 2012, 21 consecutive patients underwent laparoscopic-assisted total proctocolectomy by medial-to-lateral approach in Department of General Surgery in Nanfang Hospital. The clinical data and follow-up results were reviewed.</p><p><b>RESULTS</b>Twenty cases underwent laparoscopic resection successfully, and 1 case (4.8%) was converted to open surgery because of serious peritoneal cavity adhesion. The mean operative time was (237.1±64.2) min and intraoperative blood loss was (90.0±77.7) ml. The mean time to first flatus was (2.7±0.8) days. The mean postoperative hospital stay was (11.8±5.7) days. Three patients (14.3%) experienced postoperative complications, including anastomotic leakage (n=1), lymphatic leakage (n=1), and anastomotic stricture (n=1). The median follow-up was 22 months (4-60 months). There were two deaths including one patient died of progressive disease 5 months after surgery and the other died of multiple organ failure.</p><p><b>CONCLUSIONS</b>The advantages of laparoscopy-assisted total proctocolectomy using medial-to-lateral approach include simplified surgical procedure, clearly revealed surgical plane, and shortened operative time. This procedure is safe and feasible in the experienced department of laparoscopic colorectal surgery.</p>
Full text:
1
Index:
WPRIM
Main subject:
Feasibility Studies
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Retrospective Studies
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Follow-Up Studies
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Treatment Outcome
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Proctocolectomy, Restorative
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Laparoscopy
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Methods
Type of study:
Observational_studies
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Prognostic_studies
Limits:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2013
Type:
Article