[Laparoscopic colectomy--recommended routinely?].
The current data of laparoscopic versus open colectomy does not enable a definitive conclusion as to whether laparoscopic colectomy should be considered as the procedure of choice and recommended routinely. Laparoscopic colectomy entails a cosmetic advantage, a shorter scar and a limited advantage in short term convalescence. However, laparoscopic colectomy requires a significantly prolonged operation, with possible exposure to more intra-and post-operative complications with a possible conversion to open surgery at the rate of 10%-20% and at a significantly higher cost. It is possible that the cosmetic and borderline quality of life advantages, do no justify the routine utilization of laparoscopic colectomy. Nonetheless, it should be emphasized that laparoscopic colectomy is a legitimate option for patients with benign conditions and uncomplicated colon cancer. The process of assimilation of laparoscopic colectomy should be conducted cautiously, not due to conservatism, but rather taking into consideration the very long learning-curve of this technigue and also from patient care perspectives. Even large, leading referral colorectal centers are usually slow at implementing laparoscopic colectomy, not exceeding 25% of total colon surgery.
Klausner
Joseph M
JM
D003082:Colectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D016896:Treatment Outcome