복강경을 이용한 대장절제술의 유용성

Abstract

Introduction : The use of laparoscope in the field of colorectal surgery is still in its early stages of development in terms of the ease, efficacy, and safety of colonic mobilization, resection,and anastomosis. The major advantage of a laparoscopic approach to any surgical therapy is a reduction in postoperative morbidity. So, it can be shorten the hospital stay and recovery time. Because of this avantages, laparoscopic colon and rectal surgery undertake widely applied to benign colorectal disease. In this study, we establish to the safety and efficacy of laparoscopic colon and rectal surgery and the better application of laparoscope in colorectal disease.

Materials and Methods : Fifteen patients who underwent laparoscopic assisted colon resection were analized from April 1993 to May 1997 in Severance hospital. We studied their preoperative diagnosis, pathology, mean operation time, hospital stay and postoperative complication

Results : Their underlying pathology were all benign diseases exept three cases of malignancy. Mean operation time was 3.2 hours, mean hospital duration was 9.1 days, mean estimated blood loss was 159 ml, the number of port sites wer usually four. They were within the acceptable range and without complications.

Conclusion : Although there are several controversies in the use of laparoscope in the field of colorectal surgery, we obtain the satisfactory data related to the postoperative disability, operation time and duration of hospital stay. Futher accumulation of experiences. better results would be expected, so we would like to recommend laparoscope for benign colorectal disease.