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Title: Laparoscopic-assisted colon and rectal surgery - Lessons learnt from early experience
Authors: Koh, D.C.-S. 
Wong, K.S.
Sim, R.
Ng, Y.P.
Hu, Z.Q.
Cheong, D.M.O.
Foo, A.
Keywords: Colorectal cancer
Laparoscopic colorectal surgery
Perioperative outcomes
Issue Date: Apr-2005
Citation: Koh, D.C.-S., Wong, K.S., Sim, R., Ng, Y.P., Hu, Z.Q., Cheong, D.M.O., Foo, A. (2005-04). Laparoscopic-assisted colon and rectal surgery - Lessons learnt from early experience. Annals of the Academy of Medicine Singapore 34 (3) : 223-228. ScholarBank@NUS Repository.
Abstract: Introduction: Current evidence shows that laparoscopic bowel surgery is associated with a lower incidence of postoperative ileus, lower postoperative pulmonary and wound complication rates, shorter hospital stays and a quicker return to activity than open surgery. This paper aims to report our early experience with laparoscopic-assisted colorectal procedures in our Centre for Advanced Laparoscopic Surgery and the important lessons we have learnt from this. Materials and Methods: All laparoscopic-assisted colon and rectal surgical (LAC) procedures performed between January 2000 and December 2003 were reviewed. Clinical and operative records of these patients were reviewed. Data retrieved included patient demographics, selected intraoperative parameters, and postoperative outcomes. In order to provide a comparable reference, an equal number of matched open procedures over the same period were accrued and similarly analysed. All patients were managed on a standard carepath. All data were entered into a database and analysed using a statistical software package. Results: Forty-two laparoscopic-assisted colorectal procedures were performed from June 2000 to December 2003. A similar number of diagnosis-matched patients with open colorectal procedures were used as comparison. The diagnoses included cancer (68.5% versus 73.8%), diverticulosis (5.7% versus 9.5%) and polyps (14.3% versus 9.5%). Seven were converted to open surgery because of bleeding, adhesions and locally advanced disease. Laparoscopic-assisted procedures performed included 1 right hemicolectomy, 5 left hemicolectomies, 9 anterior resections, 1 abdominal-perineal resection, 3 sigmoid colectomies, 11 colostomies and 1 Hartmann's procedure. Mean perioperative time (146 min versus 125 min, P = 0.173) was comparatively longer. Mean duration for analgesic requirement (2.25 days versus 2.64 days, P = 0.05), mean length of stay (5.31 days versus 9.07 days, P
Source Title: Annals of the Academy of Medicine Singapore
ISSN: 03044602
Appears in Collections:Staff Publications

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