Advanced laparoscopy in our colorectal surgical practice

Introduction: Laparoscopy has gained wide acceptance for the treatment of gall bladder diseases. Despite the good international data the use of advanced laparoscopy is spreading quite slowly in Hungary. We publish the results of our series of patients operated with advanced laparoscopic technique

Patients: Between October 2008 and February 2010 we performed 31 laparoscopic colorectal resections. We did 4 right hemicolectomy, 4 left hemicolectomy, 10 sigmoid resection 10 anterior rectal resection, 2 abdominoperineal rectal extirpation and one small bowel resection. In 23 cases the indication was malignant disease. In the other cases the indication was diverticulosis, Crohn disease, colonic adenoma. We must have made conversion once. In one occasion reoperation was needed due to anastomosis lackage and another cases the petient was operated on after six weeks the primer resection due to strangulated small bowell. The mean operating time was 210 minutes. We experienced early bowel movements and discharged our patients on the 7th postoperative day.

Conclusion: The spread of the advanced laparoscopy in Hungary can be anticipated. In our practice these procedures could be performed within reasonable operating time and safety. The advantages of laparoscopy (shorter hospital stay, quicker bowel recovery, diminished postoperative pain, better cosmetic result) can be observed in our material.