Document Detail


Laparoscopic colon surgery performed safely by general surgeons in a community hospital: a review of 154 consecutive cases.
MedLine Citation:
PMID:  16222465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The primary end point of this study was documentation of the feasibility, safety, and benefits of laparoscopic colon resection (LCR) performed by general surgeons in a community hospital. METHODS: The charts of 154 patients who underwent LCR between March 1998 and August 2003 by a group of three surgeons working in a community hospital were reviewed. Data extracted from the charts included patients' demographics, surgical indications and procedures, conversion rate, history, operative time, postoperative recovery time, and complication rates. RESULTS: Of the 154 patients, 70 were men. The mean age of the patients was 60 years. Overall, 62% of the patients had a history of prior abdominal surgery. In the majority of cases (77%), LCR was performed for benign disease. Segmental resection involving the left colon was performed for 122 patients, and right hemicolectomy was performed for 32 patients. The rates of conversion were 9.6% for open surgery and 12% for diverticulitis (n = 83). For LCR, the median operative time was 120 min, and the median hospital stay was 5 days. The complication rate was 21.6% for LCR, and the mortality rate was 2.1%. CONCLUSION: The outcomes for LCR performed by a team of general surgeons working together in a community hospital are similar to the historical results from academic health science centers.
Authors:
L V Do; R Laplante; S Miller; J-P Gagné
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Publication Detail:
Type:  Journal Article     Date:  2005-10-12
Journal Detail:
Title:  Surgical endoscopy     Volume:  19     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-25     Completed Date:  2006-08-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1533-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Hôpital Sainte-Croix, Drummondville, Quebec, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Clinical Competence*
Colonic Diseases / surgery*
Feasibility Studies
Female
General Surgery / standards*
Hospitals, Community
Humans
Laparoscopy / standards*
Male
Middle Aged
Safety

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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