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  1. Intraoperative laparoscopic complications : Are we getting better ?

    Article, Communication - En anglais

    Meeting of The American Society of Colon and Rectal Surgeons. Seattle, Washington USA, 1996/06/09.

    PURPOSE 

    The aim of this study was to assess various intraoperative and postoperative complications associated with laparoscopic colorectal surgery.

    Specifically, the impact of surgical experience and procedure type on complications was analyzed.

    METHODS 

    All patients who underwent laparoscopic surgery were analyzed by age, sex, surgical indications, procedure performed, procedure length, intraoperative and postoperative complications, incidence and causes for conversion, duration of postoperative ileus, and length of hospital stay.

    Patients were classified for type of procedure and chronologically into four consecutive groups.

    Procedures were also categorized into four different groups :

    • GI, total abdominal colectomies ;

    • GII, segmental resections ;

    • GIII, diverting procedures ;

    • GIV, others (abdominoperineal resection, Hartmann's creation or closure, anterior resection, and rectopexy).

    RESULTS 

    Between August 1991 and October 1995,167 patients of a mean age of 49.6 (15-88) years underwent laparoscopic colorectal procedures.

    All procedures were electively performed.

    Common indications for surgery included inflammatory disease in 70 (42 percent), neoplasia in 56 (33 percent), functional bowel disorders in 30 (18 percent), and other forms of colorectal disorders in 11 (7 percent) patients.

    The most significant variable affecting intraoperative laparoscopic complication rate was surgical experience measured as the time interval during which surgery was performed (P=0. (...)

    Mots-clés Pascal : Chirurgie, Côlon, Rectum, Laparoscopie, Complication, Peropératoire, Postopératoire, Incidence, Facteur risque, Etude statistique, Homme, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie

    Mots-clés Pascal anglais : Surgery, Colon, Rectum, Laparoscopy, Complication, Intraoperative, Postoperative, Incidence, Risk factor, Statistical study, Human, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0483765

    Code Inist : 002B25G02. Création : 10/04/1997.