title: [Laparoscopic colorectal resections -- experience based on 393 cases].
abstract: Laparoscopic (LAP) colorectal surgery has become increasingly popular worldwide. Large comparative studies demonstrate the benefit of the method, but data about routine application are relatively moderate. This study presents the results of laparoscopic colorectal linterventions in a non-selected patient population, who were admitted to the 1st Department of Surgery, Semmelweis University between January 2004 and December 2011. 393 patients underwent LAP surgery. In 333 cases the malignant tumor indicated surgery. T3 tumor rate was 62.7%. Synchronous liver metastases were detected in 17 cases, three of them were single and operable, but 14 cases were multiplex and inoperable. Bowel was successfully resected in all cases. Complication rate was 9.9 percent. In-hospital mortality was 2.0%. Length of hospital stay of non-complicated cases was 6.7 days. In 9 cases single incision intervention was performed, with an average length of hospital stay of four days. Rate of sphincter preserving rectal resections were 87.2%. 59 (15.0%) patients underwent conversion from LAP to open surgery. Operating time decreased by time, but both OP time and conversion rate were tipically determinded by the surgeon's skill. LAP surgery was found to be useful for all kind colorectal diseases requiring elective resection. Application of LAP method requires organized training programs.
authors.affiliation: Semmelweis Egyetem, I. sz. Sebészeti Klinika, 1082 Budapest, Üllői út 78. kpk@med.semmelweis-univ.hu
authors.forename: Péter
authors.initials: P
authors.lastname: Kupcsulik
authors.forename: Judit
authors.initials: J
authors.lastname: Tamás
authors.forename: Timea
authors.initials: T
authors.lastname: Pálházy
authors.forename: Péter
authors.initials: P
authors.lastname: Lukovich
authors.forename: János
authors.initials: J
authors.lastname: Weltner
mesh_terms: D000328:Adult; D000368:Aged; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D015179:Colorectal Neoplasms / Q000401:mortality / Q000601:surgery*; D061887:Conversion to Open Surgery; D017558:Elective Surgical Procedures; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007416:Intestinal Perforation; D007421:Intestine, Small / Q000293:injuries; D010535:Laparoscopy; D007902:Length of Stay; D008113:Liver Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010538:Peritonitis / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation; D012720:Severity of Illness Index; D013529:Surgical Wound Dehiscence