Download 306 laparoscopic colorectal procedures: short

0068 Endo+Colon
306 LAPAROSCOPIC COLORECTAL PROCEDURES: SHORTTERM AND ONCOLOGICAL LONG-TERM RESULTS
Danny Rosin, Oded Zmora, Aviad Hoffman, Marat Khaikin,
Barak Bar Zakai, Yaron Munz, Moshe Shabtai, Amram Ayalon
The Department of General Surgery & Transplantation, Sheba Medical
Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv
Background: Laparoscopic surgery has recently gained wide acceptance in
the treatment of colorectal pathologies, including cancer. Long-term
outcome however requires further assessment. The aim of this study is to
evaluate short and long term outcomes after 8 years of performing
laparoscopic
colon
and
rectal
surgery.
Methods: Data relative to all patients who underwent laparoscopic colon
and rectal surgery in our department was prospectively recorded.
Demographics, operative procedure, post-operative course, oncologic
treatment and follow-up data were reviewed in this study. Survival was
calculated for patients with cancer who completed at least 3 years of followup.
Results: 306 procedures were performed over a period of 8 years, 184
(60%) for malignancy and 122 (40%) for benign conditions. The number of
procedures stabilized at around 50 per year, and included right colectomy
(81), sigmoidectomy (80), Anterior resection (55) and left colectomy (34),
and
other
procedures
(55).
Mean operating time was 243 minutes, and conversion rate was 14.7%.
Post-operative complications included wound infection in 16.9% and
anastomotic leak in 5.2% of the cases. Re-operation was required in 9.1%,
and overall post-operative mortality, including after emergency colorectal
procedures,
was
3.2%.
For the group operated for cancer until 2001, actual 3-year survival for all
stages was 71%. Node-positive patients had 73% 3-year survival rate.
Conclusions: Laparoscopic colorectal surgery allows for acceptable short
term and oncologic outcome, comparable to that achieved by open surgery.