Lucas Gerbasi, Rodrigo Pinto, Mariane Camargo, Cintia Kimura, Diego Soares, Fabio Campos, Sergio Nahas, Ivan Cecconello. Faculdade de Medicina da USP
Background: Laparoscopic surgery has changed the way we perform surgery. Its benefits are clearly in any hospital with enabled surgeons. Currently, there are very few restrictions on the routine use of laparoscopic access. However, in the beginning, laparoscopic surgery was only for selected cases.
Objective: Analyze the results of laparoscopic colorectal surgery at a single teaching institution between 1995 and 2016.
Methods: This study is a retrospective analysis of a prospective database of 596 patients who underwent laparoscopic colorectal surgery. Surgery performed, operative and postoperative complications, conversion index, mortality and operative time were considered.
Results: From 1995 to 2016, 596 operations were performed, 269 between 1995 and 2011 and 327 between 2012 and 2016. Left colectomies and rectosigmoidectomy were 340 (57,1%), right colectomies were 144 (24,2%), total proctocolectomies with or without ileal pouch-anal anastomosis (IPAA) were 37 (6,2%), total colectomies were 29 (4,9%), abdominoperineal resections were 29 (4,9%), rectopexy for rectal prolapse were 10 (1,7%) and there were 7 other nonclassified resections. The mean age of patients was 57,9 ± 15,1 years. 223 (37,4%) were men and 373 (62,6%) were women. Average body mass index (BMC) was 26,65 ± 4,6 and mean operative time was 243,8 ± 95,5 minutes. Operative complications occurred in 28 (4,7%) patients and conversion in 46 (7,7%) cases. Thirty-day complications were classified based on Clavien-Dindo. Of all patients, 411 (69%) had no complications, 63 (10,6%) were Clavien I, 56 (9,4%) were Clavien II, 6 (1%) were Clavien IIIa, 28 (4,7%) were Clavien IIIb, 14 (2,3%) were Clavien IVa, 7 (1,2%) were Clavien IVb and 11 (1,8%) were Clavien V. Anastomotic leak occurred in 46 (7,7%) cases and 46 (7,7%) patients required reoperations for postoperative complications.
Conclusion: results of laparoscopic resections in a teaching institution are in line with the major worldwide centers, including the initial experience, showing the safety and feasibility of this technique.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80405
Program Number: P597
Presentation Session: Poster (Non CME)
Presentation Type: Poster