| Immediately recognizable benefits and drawbacks after laparoscopic colon resection for benign disease. | |
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MedLine Citation:
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PMID: 9266638 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A prospective assessment of the impact of laparoscopic colon resection (LCR) was carried out in order to quantify immediately recognizable benefits and limitations of this approach. METHODS: Elective LCR was attempted in 95 selected patients (mean age 64 years, range 39-81 years) presenting with benign disease of the colon. A completely intracorporeal approach was adopted. Results were compared with a control group of 90 patients who had previously undergone open colectomy (OC) by the same surgeons at the same institution. RESULTS: There were no perioperative deaths. Intraoperative complications included difficult extraction of accidentally detached anvil (n = 1), air leak at colonoscopy (n = 2), and conversion to OC (n = 1). Operating time was significantly longer after LCR compared with OC (180 +/- 10.3 vs 116 +/- 97, p < 0.001). Passage of flatus (3.5 +/- 1.2 days vs 4.4 +/- 1.4, p < 0.5) and morbidity (4 vs 3, p = 0.48) were not significantly different in the two groups. Hospital stay was significantly shorter after LCR (5.2 +/- 1.3 days vs 12.2 +/- 1.9 days, p < 0.001). Theater and ward costs were, respectively, significantly increased ($2,829.6 +/- 340 vs $1,422 +/- 318, p < 0.001) and decreased ($2,600 +/- 366 vs $6,022 +/- 916, p < 0.001) in LCR patients compared with the OC group. There was no significant difference in total hospital costs ($10,929 +/- 369 vs $9,944 +/- 1,014). CONCLUSIONS: LCR does not appear to offer any immediately recognizable advantages. |
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Authors:
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R Bergamaschi; J P Arnaud |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Surgical endoscopy Volume: 11 ISSN: 0930-2794 ISO Abbreviation: Surg Endosc Publication Date: 1997 Aug |
Date Detail:
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Created Date: 1997-10-08 Completed Date: 1997-10-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: GERMANY |
Other Details:
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Languages: eng Pagination: 802-4 Citation Subset: IM |
Affiliation:
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Department of Visceral Surgery, Angers University Hospital, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Colectomy / economics, methods* Colonic Diseases / surgery* Humans Intraoperative Complications Laparoscopy* / adverse effects Length of Stay Middle Aged Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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