Dr. Robert R. Cima provides a surgical demonstration of laparoscopic colectomy and robotically assisted rectal cancer surgery.
doneA minimally invasive approach is Mayo’s preferred operative approach for both malignant and benign conditions as there are numerous benefits for patients without any compromise in their surgical outcome.
The first laparoscopic colectomy was reported in the literature in 1991. However, it still accounts for less than 12% of the colectomies performed nationally. The reasons for this are many but the most common explanation is that it requires a higher level of technical skill in order for it to be performed safely and efficiently. There also was a concern about performing laparoscopic colectomy for patients with colorectal cancer.
Fortunately, a national randomized clinical trial led by a Mayo Clinic physician demonstrated that in expert hands the cancer outcomes were the same. More importantly, there were a number of short-term benefits for the patients. These benefits include shorter hospitalizations, less pain and fewer complications. This has been demonstrated in multiple studies including a meta-analysis performed at Mayo Clinic. The Division of Colon and Rectal Surgery at Mayo Clinic in Minnesota has performed over 3,000 minimally invasive colorectal procedures ranging from segmental colectomies to total proctocolectomies with ileal pouch construction.
3 Comments
Doctors,
I have a partial small bowel obstruction where my small bowel was resectioned and stapled to the large bowel following a colonoscopy rupture, repair surgery and subsequent surgery to relieve blockage in the small bowel all in November/December 1995. I am on a liquid diet for one week.
My question. Can the partial blockage be removed laparoscopically? E. Christenson
Only Rarely.
Laparoscopic lysis of adhesion can be done in selected candidates. We often try and convert to an open procedure if cannot be successful or if too risky.
Posted for Dr. Cima and others by Carol Lammers
Only Rarely.
Laparoscopic lysis of adhesion can be done in selected candidates. We often try and convert to an open procedure if cannot be successful or if too risky.