Intra-corporeal anastomosis in laparoscopic surgery for benign colorectal disease

Jacob Antonsen*, Rogini Balachandran, Finn Stigsen Holm, Ismail Gögenur

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review


INTRODUCTION: Recent studies have described the benefits of performing bowel resections for benign and malignant diseases as a total laparoscopic procedure with intra-corporeal anastomosis. We describe our preliminary experience with total laparoscopic surgery for benign lower gastrointestinal diseases. METHODS: All patients (n = 32) who had received elective bowel surgery with intra-corporeal anastomosis for benign diseases between November 2013 and August 2015 were included in this retrospective study. RESULTS: A total of 15 patients (47%) had a primary anastomosis, 17 patients (53%) had a stoma reversal. The median length of stay was five days (range: 3-16). Surgical complications requiring re-operation were present in five patients (Clavien-Dindo grade IIIb) of whom two presented with anastomotic leaks (6%; 95% confidence interval: 2-20%). No post-operative medical complications according to the Clavien-Dindo Classification were seen. The median duration of surgery was 127 minutes (range: 61-211 min.). No deaths occurred. CONCLUSION: A total laparoscopic approach to benign lower gastrointestinal diseases with intra-corporeal anastomosis was feasible.

TidsskriftDanish medical journal
Udgave nummer10
StatusUdgivet - okt. 2017


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