Annals of Coloproctology

Skip Navigation: Skip to contents

SEARCH: Search

Advanced Search

mobile menu button

Search

Page Path: HOME > Search

Display

Sort by :

Original Article

Early Experiences with Laparoscopic- assisted Colectomy: Retrospective Comparison with Open Colectomy (Case-control Study).: Park, Ki Jae , Lee, Mi Ri , Choi, Hong Jo; J Korean Soc Coloproctol. 2007;23(3):152-160.; DOI: https://doi.org/10.3393/jksc.2007.23.3.152

2,646 View
14 Download
4 Citations

Abstract PDF

Purpose
The aim of this study was to review our experience with laparoscopic-assisted colectomy (LACs), and to evaluate its feasibility and safety for surgical treatment of colorectal diseases, including cancer. Methods: Between September 2002 and September 2005, a LAC was performed in 58 patients. Of these, 6 cases of conversion to open colectomy were excluded from the analysis. Fifty conventional open colectomy (OCs) with clinicopathologic characteristics comparable to those of the LACs were selected and matched as a control group for comparative analysis regarding short-term oncologic and perioperative outcomes. The mean follow-up period was 13.8 (2~37) months. Results: Thirteen complications, involving 11 patients, occurred. The mean operative time of the LAC was longer than that of the OC (215 min vs. 179 min; P<0.0001). However, earlier restoration of bowel function was achieved in the LAC as measured by postoperative first flatus (2.8 days vs. 3.8 days) and intake of a clear liquid diet (4.7 days vs. 5.8 days). There was no significant difference in hospital stay (LAC vs. OC, 10.2 days vs. 11.8 days). In patients with malignancy, the proximal resection margin in the LAC was significantly shorter than that in the OC (9.2 cm vs. 13.3 cm; P<0.0001). However, there were no significant differences in the mean numbers of harvested lymph nodes (LAC vs. OC, 16.6 vs. 19.3; P=0.4330) and the mean distal resection margins (LAC vs. OC, 6.9 cm vs. 6.0 cm; P=0.1359). There were 3 distant metastases and one local recurrence during follow-up in the LAC group, but no port-site recurrence. Conclusions: In this study, we could not receive an advantage of shorter hospital stay due to the relatively high complication rate for a LAC, which may reflect a learning curve. Earlier postoperative recovery of bowel function and equal pathologic extent of resection in the LAC suggest that the LAC is an acceptable alternative procedure in the treatment of colorectal diseases, including malignancy. More experience with the LAC is necessary to overcome the learning curve. Affirmative long-term oncologic outcomes of are expected for the LAC.

Citations

Citations to this article as recorded by

Control efficacy of Lime Bordeaux Mixture against Collectotrichum gloeosporioides JAFP5 and Serratia plymuthica JABP11 in Ginseng
Min-Jeong Kim, Chang-Ki Shim, Sang-Gu Park
The Korean Journal of Pesticide Science.2021; 25(1): 63. CrossRef
Initial Experiences with a Laparoscopic Colorectal Resection: a Comparison of Short-term Outcomes for 50 Early Cases and 51 Late Cases
Jang Won Seon, Jung Wook Huh, Sang Hyuk Cho, Jae Kyoon Joo, Hyeong Rok Kim, Young Jin Kim
Journal of the Korean Society of Coloproctology.2009; 25(4): 252. CrossRef
Short-Term Outcome of Curative One-Stage Laparoscopic Resection for Obstructive Left-Sided Colon Cancers Followed by Stent Insertion: Comparative Study with Non-Obstructive Left-Sided Colon Cancers
Hyun Sil Kim, Sung Geun Kim, Chang Hyuk Ahn, Won Kyung Kang, Yun Seok Lee, In Kyu Lee, Hyung-Jin Kim, Sang Cheol Lee, Hyeon Min Cho, Jong Kyung Park, Seong Taek Oh, Jun-Gi Kim
Journal of the Korean Society of Coloproctology.2009; 25(6): 417. CrossRef
The Impacts of Obesity on a Laparoscopic Low Anterior Resection
Jin-Hee Woo, Ki-Jae Park, Hong-Jo Choi
Journal of the Korean Society of Coloproctology.2009; 25(5): 306. CrossRef

First
Prev
Page of 1
Next
Last

TOP