Laparoscopic Management of Benign Colorectal Diseases

Abstract

Background: Laparoscopic colectomy is safe and effective, and in some cases, superior to open surgery, for a range of benign illnesses. The short-term advantages include less gastrointestinal discomfort, decreased wound infection and surgical morbidity, quicker bowel function restoration, and a shorter duration of hospital stay.Aim of the work & Methodology: evaluate our practice in laparoscopic colectomy by studied 20 patients with benign colorectal disorders admitted to our university hospital between Dec. 2015 and Dec. 2020. Inclusion criteria: 1. Age ranging from 15 to 70 years. 2. Patients with benign colorectal diseases, e.g., diverticular diseases, inflammatory bowel diseases, colonic polyps, rectal prolapse, etc. Exclusion criteria; malignant colorectal tumors and relative contraindication for laparoscopy. We were using classical laparoscopic techniques. Patients were discharged from the hospital when they could tolerate a regular diet. They were followed up at least six months, starting on the 30th postoperative day on a regular visit every two weeks—the data recorded including the intraoperative events and the difficulties and postoperative follow-up.Results: Technical difficulties are more remarkable for benign conditions than for cancer, especially for patients with inflammatory bowels, such as diverticular disease or inflammatory bowel disease, which frequently involve adjacent structures, peri-colic fibrosis, and lost planes. Surgeons should choose their patients before beginning laparoscopic colorectal surgeries.Conclusions: Laparoscopic surgery provides numerous advantages over open surgery, including minor discomfort, a shorter hospital stay, reduced morbidity, and a faster postoperative recovery. Our study cannot be utilized in a comparison study since it only evaluates our practice, and the findings may not be generalizable.