medigraphic.com
ISSN 2594-1518 (Digital)
ISSN 1405-0099 (Impreso)

2000, Número 2

<< Anterior Siguiente >>

Cir Gen 2000; 22 (2)


Cirugía colorrectal por laparoscopia. Análisis de seis casos

Decanini TC, Belmonte MC, Chiapa CM

Idioma: Español
Referencias bibliográficas: 37
Paginas: 143-147
Archivo PDF: 45.77 Kb.


RESUMEN

Objetivo: Revisar los resultados en seis pacientes con enfermedad colorrectal operados mediante cirugía laparoscópica y analizar el papel actual de este método de abordaje en la cirugía colorrectal.
Diseño: Estudio retrospectivo, observacional y análisis de la literatura (37 referencias).
Sede: Hospitales de tercer nivel de atención.
Pacientes y métodos: Se revisaron los expedientes clínicos de seis pacientes con enfermedad colo-rrectal operados mediante la técnica laparoscópica videoasistida. Se estudiaron: datos clínicos, indicación quirúrgica y evolución posoperatoria.
Resultados: Se operaron seis pacientes, tres hombres y tres mujeres, cuatro requirieron derivación fecal en asa por padecimientos benignos: Se hicieron tres colostomías y una ileostomía; en los dos restantes se realizó resección abdominoperineal por cáncer. Los seis tuvieron una evolución buena y no se presentó complicación en relación con la vía de abordaje.
Conclusión: La laparoscopia fue útil en enfermedad inflamatoria intestinal, sobre todo en aquellos casos en que se resequen segmentos cortos de intestino y cuando sea necesario crear un estoma.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Reissman P, Cohen S, Weiss EG, Wexner SD. Laparoscopic colorectal surgery: ascending the learning curve. World J Surg 1996; 20: 277-82.

  2. Monson JRT, Hill ADK, Darzi A. Laparoscopic colonic surgery. Br J Surg 1995; 82: 150-7.

  3. Adachi Y, Sato K, Shiraishi N, Kakisako K, Tanimura H, Kitano S. Tumor size of colorectal cancer: indication for laparoscopic surgery. Surg Laparosc Endosc 1998; 8: 269-272.

  4. Franklin ME Jr, Rosenthal D, Norem RF. Prospective evaluation of laparoscopic colon resection versus open colon resection for adenocarcinoma. A multicenter study. Surg Endosc 1995; 9: 811-6.

  5. Stage JG, Schulze S, Moller P, Overgaard H, Andersen M, Rebsdorf-Pedersen VB et al. Prospective randomized study of laparoscopic versus open colonic resection for adenocarcinoma. Br J Surg 1997; 84: 391-6.

  6. Ramos JM, Gupta S, Anthone GJ, Ortega AE, Simons AJ, Beart RW Jr. Laparoscopy and colon cancer. Is the port site at risk? A preliminary report. Arch Surg 1994; 192: 897-9; discussion 900.

  7. Dean PA, Beart RW Jr, Nelson H, Elftmann TD, Schlinkert RT. Laparoscopic-assisted segmental colectomy: early Mayo Clinic experience. Mayo Clin Proc 1994: 69: 834-40.

  8. Agachan F, Joo JS, Weiss EG, Wexner SD. Intraoperative laparoscopic complications. Are we getting better? Dis Colon Retum 1996; 39(10 Suppl): S14-9.

  9. Bokey EL, Moore JWE, Chapuis PH, Newland RC. Morbidity and mortality following laparoscopic-assisted right hemicolectomy for cancer. Dis Colon Rectum 1996; 39(10 Suppl): S24-8.

  10. Kóckerling F, Schneider C, Reymond MA, Scheidbach H, Konradt J, Bärlehner E et al. Early results of a prospective multicenter study on 500 consecutive cases of laparoscopic colorectal surgery. Laparoscopic Colorectal Surgery Study Group (LCSSG). Surg Endosc 1998; 12: 37-41.

  11. Bergamaschi R, Arnaud JP. Immediately recognizable benefits and drawbacks after laparoscopic colon resection for benign disease. Surg Endosc 1997; 11: 802-4.

  12. Lumley JW, Fielding GA, Rhodes M, Nathanson LK, Siu S, Stitz RW. Laparoscopic-assisted colorectal surgery: lessons learned from 240 consecutive patients. Dis Colon Rectum 1996; 39: 155-9.

  13. Lord SA, Larach SW, Ferrara A, Williamson PR, Lago CP, Lube MW. Laparoscopic resection for colorectal carcinoma: a three-year experience. Dis Colon Rectum 1996; 39: 148-54.

  14. Vara-Thorbeck C, García-Caballero M, Salvi M, Gutstein D, Toscano R, Gómez A, et al. Indications and advantages of laparoscopic-assisted colon resection of carcinoma in elderly patients. Surg Laparosc Endosc 1994; 4: 110-8.

  15. Schirmer BD. Laparoscopic colon resection. Surg Clin North Am 1996; 76: 571-83.

  16. Franklin ME Jr, Rosenthal D, Abregon-Medina D, Dorman JP, Glass JL, Norem R, et al. Prospective comparison of open vs. laparoscopic colon surgery for carcinoma: five year results. Dis Colon Rectum 1996; 39(10 Suppl): S35-46.

  17. Schwenk W, Böhm B, Müller JM. Postoperative pain and fatigue after laparoscopic or conventional colorectal resections. A prospective randomized trial. Surg Endosc 1998; 12: 1131-6.

  18. Chen HH, Wexner SD, Weiss EG, Nogueras JJ, Alabaz O, Iroatulam AJ, et al. Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomy. Surg Endosc 1998; 12: 1397-400.

  19. Wishner JD, Baker JW Jr, Hoffman GC, Hubbard GW 2nd, Gould RJ, Wohlgemuth SD, et al. Laparoscopic-assisted colectomy. The learning curve. Surg Endosc 1995; 12: 1179-83.

  20. Falk PM, Beart RW Jr, Wexner SD, Thorson AG, Jagelman DG, Lavery IC, et al. Laparoscopic colectomy: a critical appraisal. Dis Colon Rectum 1993; 36: 28-34.

  21. Milsom JW, Böhm B, Hammerhofer KA, Fazio V, Steiger E, Elson P. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg 1998; 187: 46-54; discussion 54-5.

  22. Musser DJ, Boorse RC, Madera F, Reed JF 3rd. Laparoscopic colectomy: at what cost?. Surg Laparosc Endosc 1994; 4: 1-5.

  23. Hotokezaka M, Dix J, Mentis EP, Minasi JS, Schirmer BD. Gastrointestinal recovery following laparoscopic vs colon surgery. Surg Endosc 1996; 10: 485-9.

  24. Allendorf JDF, Bessler M, Whelan RL, Trokel M, Laird DA, Terry MB, et al. Better preservation of immune function after laparoscopic-assisted vs. open bowel resection in a murine model. Dis Colon Rectum 1996; 39(10 Suppl): S67-72.

  25. Fukushima R, Kawamura YJ, Saito H, Saito Y, Hashiguchi Y, Sawada T, et al. Interleukin-6 and stress hormone responses after uncomplicated gasless laparoscopic-assisted and open sigmoid colectomy. Dis Colon Rectum 1996; 39(10 Suppl): S29-34.

  26. Binderow SR, Coheb SM, Wexner SD, Nogueras JJ. Must early postoperative oral intake be limited to laparoscopy? Dis Colon Rectum 1994; 37: 584-9.

  27. Reissman P, Teoh TA, Cohen SM, Weiss EG, Nogueras JJ, Wexner SD. Is early oral feeding safe after elective colorectal surgery? A prospective randomized trial . Ann Surg 1995; 222: 73-7.

  28. Gunderson LL, Sosin H. Areas of failure found at reoperation (second or symptomatic look) following “curative surgery” for adenocarcinoma of the rectum Clinicopathologic correlation and implications of adjuvant therapy. Cancer 1974; 34: 1278-92.

  29. Fleshman JW, Nelson H, Peter WR, Kim HC, Larach S, Boorse RR, et al. Early results of laparoscopic surgery for colorectal cancer. Retrospective analysis of 372 patients treated by Clinical Outcomes of Surgical Therapy (COST) Study Group. Dis Colon Rectum 1996; 39(10 Suppl): S53-8.

  30. Vukasin P, Ortega AE, Greene FL, Steele GD, Simons AJ, Anthone GJ, et al. Wound recurrence following laparoscopic colon cancer resection: results of The American Society of Colon and Rectal Surgeons Laparoscopic Registry. Dis Colon Rectum 1996; 39(10 Suppl): S20-3.

  31. Wexner SD, Cohen SM, Ulrich A, Reissman P. Laparoscopic colorectal surgery-are we being honest with our patients? Dis Colon Rectum 1995; 38: 723-7.

  32. Ortega AE, Beart RW Jr, Steele GD Jr, Winchester DP, Greene FL. Laparoscopic Bowel Surgery Registry. Preliminary results. Dis Colon Rectum 1995; 38: 681-5; discussion 685-6.

  33. Regadas FS, Rodrigues LV, Nicodemo AM, Siebra JA, Furtado DC, Regadas SM, Complications in laparoscopic colorectal resection: main types and prevention. Surg Laparosc Endosc 1998; 8: 189-92.

  34. Sardinha TC, Wexner SD. Laparoscopy for inflammatory bowel disease: pros and cons. World J Surg 1998; 22: 370-4.

  35. Bouillot JL, Aouad K, Badawany A, Alamowitch B, Alexandre JH. Elective laparoscopic–assisted colectomy for diverticular disease. A prospective study in 50 patients. Surg Endosc 1998; 12: 1393-6.

  36. Bruce CJ, Coller JA, Murray JJ, Schoetz DJ Jr, Roberts PL, Rusin LC. Laparoscopic resection for diverticular disease. Dis Colon Rectum 1996; 39(10 suppl.)S1-6.

  37. Cirocco WC, Schwartzman A, Golub RW. Abdominal wall recurrence after laparoscopic colectomy for colon cancer. Surgery 1994; 116: 842-6.




2020     |     www.medigraphic.com