eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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vol. 2

Original articles
Laparoscopic treatment of diverticulitis and cancer of the colon and rectum

Anton Ścierski
Frank Roechte

Wideochirurgia i inne techniki małoinwazyjne 2007; 2 (3): 108–118
Online publish date: 2007/10/03
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Aim: The aim of this study was to document the results of laparoscopic treatment of colon and rectum diseases and to compare these results with results of traditional surgery for management of patients with colon and rectum cancer and inflammatory bowel diseases (diverticulitis).
Materials and methods: In the years 1998–2005 we treated 553 patients with diseases of the colon and rectum. We assigned them to surgical treatment with either a traditional open approach (296 patients) or laparoscopic procedure (257 patients). The conversion rate was 4.9%. We treated laparoscopically 110 patients with inflammatory bowel diseases (48 in acute phase and 62 elective), 126 patients with colon and rectum cancer (35 rectum cancers, 44 sigmoid cancers) and 21 patients with rectum prolapse.
Results: In 6 patients (3 inflammatory disease and 3 cancer patients) we noted anastomotic leaks. Operating times were for diverticulitis longer in the laparoscopic group (2:30 to 2:10), but for cancer shorter in the laparoscopic group (2:45 to 3:10). Pathologic examination revealed that tumour characteristics and the number of excised lymph nodes (η=23) were similar in the two groups.
Conclusions: This study shows that colon and rectum cancers and inflammatory bowel diseases can be effectively treated with laparoscopic techniques. The procedure could be performed without any compromise in tumour cure. Laparoscopic mesorectal excision should be performed using sharp anatomical dissection to avoid local recurrence and damage of the nerves.

colon, diverticulitis of the colon, cancer of the colon, laparoscopic surgery, conventional surgery

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