[Minimally invasive surgery (MIC) in the area of the colon and rectum: technique of minimally invasive colorectal surgery].
Minimally invasive surgery is gaining increased importance in colorectal surgery. Since 1993 we have performed 378 minimally invasive colorectal procedures (appendzcetomy excluded): right-sided (n = 70) and left-sided (n = 160) hemicolectomy, anterior rectal resections (n = 72), and colostomy (n = 12), Hartmann procedure (n = 17), take-down operation (n = 25), rectopexy (n = 21) and coloproctomucosectomy (n = 2). The indications were diverticulitis (n = 147), benign tumor (n = 40), malignant tumor (n = 135), rectal prolapse (n = 21), Crohn's disease (n = 8), intestinal diversion (n = 25), colonic perforation (n = 2). Postoperative complications were observed in 21% of cases; anastomotic leak developed in 4%; mortality was 0.5%. In keeping with the current literature our data show that in the majority of cases surgical therapy of colorectal disease can be performed in minimally invasive fashion.
Szinicz
G
G
Chirurgische Abteilung, Landeskrankenhaus Bregenz, Osterreich. gerhard.szinicz@lkhb.vol.at
Riegler
M
M
Müller
W
W
Beller
S
S
D003108:Colonic Diseases / Q000601:surgery*; D006801:Humans; D020706:Laparoscopes; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology; D012002:Rectal Diseases / Q000601:surgery*; D012189:Retrospective Studies