Laparoscopic Anterior Resection: Early Experience at Bhumibol Adulyadej Hospital

Abstract

Laparoscopic procedures are now rapidly replacing open conventional approaches in every branch of surgery. The advanced laparoscopic procedures in the gastrointestinal system are being practiced by laparoscopic surgeons. The advantages of laparoscopic colon resections were the better return of bowel function, less pain and hospital stay reduction. Many studies found no differences in recurrence and survival levels. The techniques of laparoscopic assisted, hand-assisted laparoscopic and totally laparoscopic anterior resections are briefly described. Four patients with sigmoid colonic cancer, 2 males and 2 females, age ranged from 52-90 years, underwent laparoscopic anterior resection: two laparoscopic assisted, one hand-assisted laparoscopic, and one totally laparoscopic colectomies. The operative times ranged 135-270 minutes. The postoperative hospital stays were between 6-12 days. No serious complications were detected.