LAPAROSCOPIC COLECTOMY

被引：329

作者：

PHILLIPS, EH ^{[1
]}

FRANKLIN, M ^{[1
]}

CARROLL, BJ ^{[1
]}

FALLAS, MJ ^{[1
]}

RAMOS, R ^{[1
]}

ROSENTHAL, D ^{[1
]}

机构：

[1] SOUTHEAST BAPTIST HOSP,DEPT GEN SURG,SAN ANTONIO,TX

来源：

ANNALS OF SURGERY | 1992年 / 216卷 / 06期

关键词：

D O I：

10.1097/00000658-199212000-00015

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：703 / 707

页数：5

共 10 条

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[2]

BEAHRS OH, 1986, COLORECTAL TUMORS

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