Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late Outcome
Background. There is increasing evidence suggesting that the laparoscopic technique is the treatment of choice for large bowel resection, including for malignancy. The purpose of the study was to assess whether general surgeons, with particular skills in advanced laparoscopy, can adequately provide...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/581523 |
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| author | Robert C. Gandy Christophe R. Berney |
| author_facet | Robert C. Gandy Christophe R. Berney |
| author_sort | Robert C. Gandy |
| collection | DOAJ |
| description | Background. There is increasing evidence suggesting that the laparoscopic technique is the treatment of choice for large bowel resection, including for malignancy. The purpose of the study was to assess whether general surgeons, with particular skills in advanced laparoscopy, can adequately provide safe laparoscopic colorectal resections in a low-volume setting. Methods. A retrospective review of prospectively collected case series of all laparoscopic colorectal resections performed under the care of a single general surgeon is presented. The primary endpoint was postoperative clinical outcome in terms of morbidity and mortality. Secondary endpoints were adequacy of surgical margins and number of lymph nodes harvested for colorectal cancer cases. Results. Seventy-three patients underwent 75 laparoscopic resections between March, 2003, and May, 2011. There was no elective mortality and the overall 30-day postoperative morbidity was 9.3%. Conversion and anastomotic leakage rates were both 1.3%, respectively. None of the malignant cases had positive margins and the median number of lymph nodes retrieved was 17. Conclusions. Our results support the view that general surgeons with advanced skills in minimally invasive surgery may safely perform laparoscopic colorectal resection in a low-volume setting in carefully selected patient cases. |
| format | Article |
| id | doaj-art-71d9886011104b75be91cf31138bada3 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-71d9886011104b75be91cf31138bada32025-02-03T05:51:43ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/581523581523Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late OutcomeRobert C. Gandy0Christophe R. Berney1Department of Surgery, Bankstown-Lidcombe Hospital, University of New South Wales, Eldridge Road, Bankstown, NSW 2200, AustraliaDepartment of Surgery, Bankstown-Lidcombe Hospital, University of New South Wales, Eldridge Road, Bankstown, NSW 2200, AustraliaBackground. There is increasing evidence suggesting that the laparoscopic technique is the treatment of choice for large bowel resection, including for malignancy. The purpose of the study was to assess whether general surgeons, with particular skills in advanced laparoscopy, can adequately provide safe laparoscopic colorectal resections in a low-volume setting. Methods. A retrospective review of prospectively collected case series of all laparoscopic colorectal resections performed under the care of a single general surgeon is presented. The primary endpoint was postoperative clinical outcome in terms of morbidity and mortality. Secondary endpoints were adequacy of surgical margins and number of lymph nodes harvested for colorectal cancer cases. Results. Seventy-three patients underwent 75 laparoscopic resections between March, 2003, and May, 2011. There was no elective mortality and the overall 30-day postoperative morbidity was 9.3%. Conversion and anastomotic leakage rates were both 1.3%, respectively. None of the malignant cases had positive margins and the median number of lymph nodes retrieved was 17. Conclusions. Our results support the view that general surgeons with advanced skills in minimally invasive surgery may safely perform laparoscopic colorectal resection in a low-volume setting in carefully selected patient cases.http://dx.doi.org/10.1155/2014/581523 |
| spellingShingle | Robert C. Gandy Christophe R. Berney Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late Outcome Gastroenterology Research and Practice |
| title | Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late Outcome |
| title_full | Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late Outcome |
| title_fullStr | Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late Outcome |
| title_full_unstemmed | Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late Outcome |
| title_short | Safety of Laparoscopic Colorectal Surgery in a Low-Volume Setting: Review of Early and Late Outcome |
| title_sort | safety of laparoscopic colorectal surgery in a low volume setting review of early and late outcome |
| url | http://dx.doi.org/10.1155/2014/581523 |
| work_keys_str_mv | AT robertcgandy safetyoflaparoscopiccolorectalsurgeryinalowvolumesettingreviewofearlyandlateoutcome AT christopherberney safetyoflaparoscopiccolorectalsurgeryinalowvolumesettingreviewofearlyandlateoutcome |