Laparoscopic colectomy

E. H. Phillips, M. Franklin, B. J. Carroll, M. J. Fallas, R. Ramos, D. Rosenthal

Research output: Contribution to journalArticle

346 Scopus citations

Abstract

Fifty-one laparoscopic colectomies were attempted at two institutions. The clinical results and methods are presented. Seven cases (14%) were converted to facilitated procedures, and four cases (8%) were converted to 'open.' Cases of cancer, diverticulitis, endometriosis, regional enteritis, villous adenomas, and sessile polyps were operated. Right, transverse, left, low anterior, and abdominoperineal colectomies were performed. Colotomies and wedge resections were also performed. Laparoscopic suturing was required in five cases of incomplete anastomosis by circular stapler (18%). Suturing was required in all right, transverse colectomies and colotomies. Operative time averaged 2.3 hours. Hospitalization averaged 4.6 days. Four patients had complications (8%), and one 95-year-old died of pneumonia (2%). Laparoscopic colectomies can be performed safely, but require two-handed laparoscopic coordination, as well as suturing and knot-tying skills.

Original languageEnglish (US)
Pages (from-to)703-710
Number of pages8
JournalAnnals of surgery
Volume216
Issue number6
DOIs
StatePublished - Jan 1 1992
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Laparoscopic colectomy'. Together they form a unique fingerprint.

  • Cite this

    Phillips, E. H., Franklin, M., Carroll, B. J., Fallas, M. J., Ramos, R., & Rosenthal, D. (1992). Laparoscopic colectomy. Annals of surgery, 216(6), 703-710. https://doi.org/10.1097/00000658-199212000-00015