Resumen

BRICENO C, JOSEFA MARÍA  y  SERVICIO DE VIAS DIGESTIVAS. HOSPITAL ONCOLOGICO “PADRE MACHADO”. CARACAS, VENEZUELA et al. Resección colorrectal laparoscópica : Experiencia inicial. Rev. venez. oncol. [online]. 2007, vol.19, n.3, pp.223-229. ISSN 0798-0582.

OBJECTIVES: Evaluate feasibility and short term results of laparoscopic colorectal resection in patients with benign and malignant colorectal disease. METHODS: Retrospective descriptive series included patients scheduled for colorectal laparoscopic resection during 6 year period: November 2000, March 2006. Clinical aspects in medical charts were analyzed: age, sex, and preoperative diagnosis, anatomical location of disease, surgical procedure, operative time, intraoperative complications, conversion rate, postoperative morbidity, mortality hospital stay. Cases with diagnosis of colorectal carcinoma we analyzed pathologic staging, number retrieved lymph nodes, size negativity margins local or distant recurrence. RESULTS: 26 patients with colorectal disease scheduled for laparoscopic colorectal resection were included. Mean age was 56.3 years. 20 patients had diagnosis of colorectal adenocarcinoma (76.92 %). 46.15 % of these were located in rectum. 10 radical right colectomies were performed (38.46 %), 8 low anterior resections  (30.76 %), 4 abdominoperineal resections (15.38 %), 3 sigmoidectomies (11.58 %) and one total colectomy  (3.84 %). Conversion rate was 38.46 %. Mean operative time was 324 minutes. Morbidity at first 30 days of postoperative period was 23. 37 %. No postoperative deaths were registered. Mean hospital stay was 6. 7 days. In those cases with malignant colorectal disease, the mean number of retrieved lymph nodes was 12. Surgical margins were negative in all cases. CONCLUSIONS: Laparoscopic colorectal resection is feasible. It offers good short term results in spite of a prolonged operative time. Oncological criteria are not violated when managing malignant colorectal disease.

Palabras clave : Colectomía; laparoscopia; cáncer; colorrectal; Colectomy; laparoscopy; colorectal; cancer.