Colectomia laparoscópica: revisão retrospectiva de 120 casos

Coelho, Júlio Cézar Uili; Pinho, Renato Valmassoni; Macedo, Júlio Japiassú Marinho de; Andriguetto, P. C.; Campos, Antônio Carlos Ligocki

doi:10.1590/s0100-69912009000200010

Cited by 6 publications

(8 citation statements)

References 9 publications

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“…3,4 The laparoscopic technique is used increasingly more in intraabdominal surgical interventions because of its proven lower morbidity and mortality and positive impact on infection rates, length of stay (costs and risk of nosocomial infection), postoperative pain, and cosmetic result, as well as early recovery of functional intestine. 5 Of relevance in this case is the fact that the patient did not show symptoms until 6 months after the diagnosis of UC. This raised the possibility that UC led to stenosis and, hence, to dilation.…”

Section: To the Editormentioning

confidence: 81%

Idiopathic megacolon associated with ulcerative colitis

Santos

Fonseca

2011

Inflammatory Bowel Diseases

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Section: To the Editormentioning

confidence: 81%

Idiopathic megacolon associated with ulcerative colitis

Santos

Fonseca

2011

Inflammatory Bowel Diseases

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“…In recent years many surgical services have addressed the colon laparoscopically, both for the treatment of benign diseases as well as for tumors, with similar results to laparotomy 5 , 6 .…”

Section: Introductionmentioning

confidence: 99%

“…Thus, it is advisable to standardize medical practice using devices that allow the isolation of the surgical specimens during its withdrawal in laparoscopic procedures in patients with colon cancer or intestinal endometriosis 2 , 5 , 16 . Considering the high prevalence of disease in focus, it is important to facilitate the effective production of protective devices at low cost, to enable the wide use of this type of device.…”

Section: Introductionmentioning

confidence: 99%

New alternative for wound protection in laparoscopic colectomy

Silva

Costa

2015

ABCD, arq. bras. cir. dig.

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BackgroundLarge number of surgical services use laparoscopy to approach the colon. One of the concerns on the resection using this way is the high rate of cancer relapse at in- and outlet site of the surgical instruments.AimTo describe a protective device for surgical isolation in laparoscopic colectomy. MethodsThe device is made of sterile polyethylene plastic cover used to protect the fiber optic cable in laparoscopic surgery and one 20 Fr. urethral catheter working as a conduit.ResultsThe device was used in six laparoscopic colectomies, three for adenocarcinoma of the colon and three for intestinal endometriosis. It was effective to avoid contact of the specimen with the abdominal wall, in order to reduce the risk of implantation of cancer or endometriotic cells and surgical site infection. The device was made intraoperative at all surgeries and allowed good visualization in laparoscopy and maintenance of the pneumoperitoneum. It cost R$ 22,00 (approximately US$ 10), R$14.50 related to the plastic cover and R$7.50, the urethral tube. The production time of the device and its installation in the abdominal cavity was measured in each procedure and was, on average, respectively, of 66 s and 25 s.ConclusionsThe device proved to be feasible, not requiring any special training and can be performed by the surgical team itself, even at institutions with limited resources.

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“…Literature data have shown results similar to those of conventional colectomy in the treatment of colorectal cancer. 3,4,9,19 The learning of this technique requires good training of the surgeon concerning the operative technique and the instruments to be used. 5,6,7,8 Currently, few data are reported in the literature regarding laparoscopic colorectal surgery performed in the state of Bahia, Brazil.…”

Section: Introductionmentioning

confidence: 99%

Two-year experience in laparoscopic colorectal surgery in a healthcare service in Salvador: a critical analysis

Mendes

Ferreira

Sapucaia

et al. 2013

Journal of Coloproctology

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Introduction laparoscopic colorectal surgery has become a viable access route since the beginning of 1990, using Jacobs’ technique. Its outcomes are decrease in hospitalization length, early return to routine activities, better esthetic results and less postoperative pain. Objective to report a series of patients treated by a team using videolaparoscopic access route in colorectal surgery. Material and methods retrospective, descriptive study carried out in Salvador, state of Bahia, Brazil, from April of 2010 to May 2012. Results a total of 81 procedures were analyzed; 59.3% of cases were females, mean age was 58.3 years. Benign illness was treated in 48.1% to the patients. Rectosigmoidectomy was carried out in 41.5% and right colectomy in 21%. Intraoperative complications were observed in 3.7% and postoperative in 21% of cases, with a conversion rate of 6.2%. Conclusion the laparoscopic procedure showed to be safe and the surgeon's training results in better outcomes in this series.

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Colectomia laparoscópica: revisão retrospectiva de 120 casos

Cited by 6 publications

References 9 publications

Idiopathic megacolon associated with ulcerative colitis

Idiopathic megacolon associated with ulcerative colitis

New alternative for wound protection in laparoscopic colectomy

Two-year experience in laparoscopic colorectal surgery in a healthcare service in Salvador: a critical analysis

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