Die laparoskopische Wiederanschlussoperation nach Hartmann-Resektion
| Autor: | T. C. Böttger, U. Hesse, D. Mohseni, J. Beardi |
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| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Zentralblatt für Chirurgie. 136:269-272 |
| ISSN: | 1438-9592 0044-409X |
| DOI: | 10.1055/s-0030-1262767 |
| Popis: | In the period from January 2003 to June 2009 923 complex laparoscopic colorectal procedures were performed by one surgeon. Data was assessed prospectively in a database including 152 variables. In 15 patients (10 f, 5 m), with a median age of 61 years (range: 35-83 years), discontinuity resection of the colon was performed including 3 patients with open discontinuity resection of the sigma and 12 patients with laparoscopic Hartmann procedures. In all cases continuity of the colon was recovered laparoscopically. Median operation time was 100 min, conversion to an open procedure was not necessary. No intra-operative complications occurred and only one wound infection (6.6 %) was recorded postoperatively with a median postoperative stay of 8 days. Although the laparoscopic approach to recover continuity of the colon is technically challenging, we conclude that the experienced bowel surgeon is able to perform the laparoscopic approach with a low morbidity and mortality by retaining the well known advantages of laparoscopic colonic surgery. |
| Databáze: | OpenAIRE |
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