ABSTRACT The successful application of laparoscopic surgery to gallbladder disease and acute appendicitis has encouraged clinical investigators to develop this technology further in an attempt to manage other pathologic disorders of the gastrointestinal GI tracto After gaining experience with various laparoscopic skills while performing clinical biliary tract surgery, appendectomy and then in a conlrolade animal laboratory, a pilot program for laparoscopic cononic. Twenty patients with ages ranging from 43 lo 88 years mean age of 57 years underwent laparoscope-assisted colon resection. In nine patiens, a right hemicolectomy was performed and a sigmoid colectomy in eight. There three operative complications: a 3 unit postoperative bleed managed without sllrgery, one patient developed marked edema of the rectosigmoid anastomosis reqlliring decompression with a rectal tube, and one individual with metastatic colon cancer was operated on for a mechanical small bowel obstrllction 7 days afier the initial laparoscopic surgery. Although laparoscope-assisted colonic surgery may still be considered a procedure in evolution, we feel that in time it has the potential to be as popular as laparoscopic cholecystectomy. The Soulherm Surgeons Club.
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ABSTRACT The successful application of laparoscopic surgery to gallbladder disease and acute appendicitis has encouraged clinical investigators to develop this technology further in an attempt to manage other pathologic disorders of the gastrointestinal GI tracto After gaining experience with various laparoscopic skills while performing clinical biliary tract surgery, appendectomy and then in a conlrolade animal laboratory, a pilot program for laparoscopic cononic.
Twenty patients with ages ranging from 43 lo 88 years mean age of 57 years underwent laparoscope-assisted colon resection. In nine patiens, a right hemicolectomy was performed and a sigmoid colectomy in eight. There three operative complications: a 3 unit postoperative bleed managed without sllrgery, one patient developed marked edema of the rectosigmoid anastomosis reqlliring decompression with a rectal tube, and one individual with metastatic colon cancer was operated on for a mechanical small bowel obstrllction 7 days afier the initial laparoscopic surgery.
Although laparoscope-assisted colonic surgery may still be considered a procedure in evolution, we feel that in time it has the potential to be as popular as laparoscopic cholecystectomy. The Soulherm Surgeons Club. A prospeclive analysis of laparoscopic cholecyslectomies. Laparoseopic appendeclomy in cases, from innovalion lo routine.
Surg Laparose Endose ; 3. Am J Surg ;
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TÉCNICA QUIRÚRGICA DE HEMICOLECTOMIA
COMENTARIO en los ultimos meses hemos tratado de rotular nuestros pacientes de acuerdo a esta clasificaci6n, que pese a ser mas compleja que otras provee el detalle necesario para poder comparar resultados alejados. Nos proponemos adoptarla en un futuro estudio prospectivo. Ademas del cecoascendente y el cingulo hepatico, integran el colon derecho parte del transverso y el ileon terminal, configurando una unidad anatomica, funcional y clinica. Filogeneticamente es una formaci6n progresiva, en relaci6n con los habitos herbivoros
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