Laparoscopic and open subtotal colectomies have similar short-term results.

Authors :: Hoogenboom FJ
Bosker RJ
Groen H
Meijerink WJ
Lamme B
Pierie JP
Source :: Digestive surgery [Dig Surg] 2013; Vol. 30 (4-6), pp. 265-9. Date of Electronic Publication: 2013 Aug 20.
Publication Year :: 2013
Abstract: Background: Laparoscopic subtotal colectomy (STC) is a complex procedure. It is possible that short-term benefits for segmental resections cannot be attributed to this complex procedure. This study aims to assess differences in short-term results for laparoscopic versus open STC during a 15-year single-institute experience.<br />Methods: We reviewed consecutive patients undergoing laparoscopic or open elective or subacute STC from January 1997 to December 2012.<br />Results: Fifty-six laparoscopic and 50 open STCs were performed. The operation time was significantly longer in the laparoscopic group, median 266 min (range 121-420 min), compared to 153 min (range 90-408 min) in the open group (p < 0.001). Median hospital stay showed no statistical difference, 14 days (range 1-129 days) in the laparoscopic and 13 days (range 1-85 days) in the open group. Between-group postoperative complications were not statistically different.<br />Conclusions: Laparoscopic STC has short-term results similar to the open procedure, except for a longer operation time. The laparoscopic approach for STC is therefore only advisable in selected patients combined with extensive preoperative counseling.<br /> (Copyright © 2013 S. Karger AG, Basel.)