1993 Volume 42 Pages 124-128
Laparoscopic colon resection were attempted in 3 patients. One patient who underwent sigmoidectomy had residual early cancer in sigmoid colon after endoscopic polypectomy. Two patients with IIa type early cancer in cecum and Crohn's disease in ileocecal portion underwent ileocecal resection.
Our technique was as follows ; Resecting bowel was grasped with ENDO-babcock and division of colonic mesentery vessels was performed with ultrasonic surgical aspirator. After partial mobilization, bowel was transected with ENDO-GIA. In the case of sigmoid colon, end-to-end anastomosis was intracorporeally performed with detachable EEA and side-to-side anastomosis was extracorporeally made with GIA for ileocecal portion.
The mean operating time was five hours. As complication, one patient required conversion to mini-laparotomy due to the bleeding from mesenteric vessels. One patient was died with acute heart failure which autopsy showed nothing concerned to this procedure. Laparoscopic colectomy showed less postoperative pain, earlier recovery of the bowel function, shorter hospitalization and better cosmetic benefit.
Rapid advances in laparoscopic instrumentation will undoubtedly expand the role of laparoscopic colon surgery in the near future.
