Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates

Detalhes bibliográficos
Autor(a) principal: Alves,Adriana Cherem
Data de Publicação: 2013
Outros Autores: Queiroz,Fábio Lopes de, Oliveira,Teon Augusto Noronha de, França-Neto,Paulo Rocha, Lamounier,Paulo César de Carvalho, Lacerda-Filho,Antônio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632013000400210
Resumo: PURPOSE: although laparoscopic surgery for the treatment of colorectal diseases represents a major advance, it is currently performed in less than a third of patients undergoing colectomies. The aim of this study is to analyze the initial results of laparoscopic-assisted colorectal surgeries (LACS) performed in a department of Coloproctology in a tertiary hospital, as well as to study the impact of age, gender and body mass index (BMI) and use of ultrasonic scissors or vessel sealing devices in relation to conversion rate. METHODS: this is a prospective observational study with 215 patients who underwent LACS between January 2006 and June 2010 in the Department of Coloproctology at Felicio Rocho Hospital, Belo Horizonte. The data obtained from a specific electronic database included demographics, diagnosis, use of ultrasonic scissors or vessel sealing devices, reason for conversion, duration of hospitalization, lymph node harvest in cancer specimens, complications, and deaths. RESULTS: the laparoscopic-assisted approach corresponded to 36.4% of all colorectal surgeries performed during the study period. Most patients were female (74%), with a mean age of 53.2 years. Ultrasonic scissors or vessel sealing devices were used in 32% of LACS. Specimen extraction and anastomosis were performed through an auxiliary incision in most cases. The overall conversion rate was 12%, with a decrease of 47% after the first year. We did not observe any association between conversion rate and age, gender, BMI, and the use of ultrasonic scissors and vessel sealing devices. The average hospital stay was of 7.7 days and the overall rate of complications was 20%, including 10 anastomotic leaks (4.65%). The rate of postoperative mortality was 1.86%. CONCLUSIONS: despite the difficulties related to the learning curve and unavailability of ultrasonic scissors or vessel sealing devices in most cases, the implementation of LACS in our department can be considered successful in relation to short-term results and conversion rates.
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spelling Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion ratesLaparoscopyColorectal surgeryMorbidityMortalityConversion PURPOSE: although laparoscopic surgery for the treatment of colorectal diseases represents a major advance, it is currently performed in less than a third of patients undergoing colectomies. The aim of this study is to analyze the initial results of laparoscopic-assisted colorectal surgeries (LACS) performed in a department of Coloproctology in a tertiary hospital, as well as to study the impact of age, gender and body mass index (BMI) and use of ultrasonic scissors or vessel sealing devices in relation to conversion rate. METHODS: this is a prospective observational study with 215 patients who underwent LACS between January 2006 and June 2010 in the Department of Coloproctology at Felicio Rocho Hospital, Belo Horizonte. The data obtained from a specific electronic database included demographics, diagnosis, use of ultrasonic scissors or vessel sealing devices, reason for conversion, duration of hospitalization, lymph node harvest in cancer specimens, complications, and deaths. RESULTS: the laparoscopic-assisted approach corresponded to 36.4% of all colorectal surgeries performed during the study period. Most patients were female (74%), with a mean age of 53.2 years. Ultrasonic scissors or vessel sealing devices were used in 32% of LACS. Specimen extraction and anastomosis were performed through an auxiliary incision in most cases. The overall conversion rate was 12%, with a decrease of 47% after the first year. We did not observe any association between conversion rate and age, gender, BMI, and the use of ultrasonic scissors and vessel sealing devices. The average hospital stay was of 7.7 days and the overall rate of complications was 20%, including 10 anastomotic leaks (4.65%). The rate of postoperative mortality was 1.86%. CONCLUSIONS: despite the difficulties related to the learning curve and unavailability of ultrasonic scissors or vessel sealing devices in most cases, the implementation of LACS in our department can be considered successful in relation to short-term results and conversion rates. Sociedade Brasileira de Coloproctologia2013-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632013000400210Journal of Coloproctology (Rio de Janeiro) v.33 n.4 2013reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2013.08.006info:eu-repo/semantics/openAccessAlves,Adriana CheremQueiroz,Fábio Lopes deOliveira,Teon Augusto Noronha deFrança-Neto,Paulo RochaLamounier,Paulo César de CarvalhoLacerda-Filho,Antônioeng2015-07-27T00:00:00Zoai:scielo:S2237-93632013000400210Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2015-07-27T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
title Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
spellingShingle Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
Alves,Adriana Cherem
Laparoscopy
Colorectal surgery
Morbidity
Mortality
Conversion
title_short Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
title_full Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
title_fullStr Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
title_full_unstemmed Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
title_sort Implementation of a colorectal laparoscopic surgical program - short-term outcomes and conversion rates
author Alves,Adriana Cherem
author_facet Alves,Adriana Cherem
Queiroz,Fábio Lopes de
Oliveira,Teon Augusto Noronha de
França-Neto,Paulo Rocha
Lamounier,Paulo César de Carvalho
Lacerda-Filho,Antônio
author_role author
author2 Queiroz,Fábio Lopes de
Oliveira,Teon Augusto Noronha de
França-Neto,Paulo Rocha
Lamounier,Paulo César de Carvalho
Lacerda-Filho,Antônio
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Alves,Adriana Cherem
Queiroz,Fábio Lopes de
Oliveira,Teon Augusto Noronha de
França-Neto,Paulo Rocha
Lamounier,Paulo César de Carvalho
Lacerda-Filho,Antônio
dc.subject.por.fl_str_mv Laparoscopy
Colorectal surgery
Morbidity
Mortality
Conversion
topic Laparoscopy
Colorectal surgery
Morbidity
Mortality
Conversion
description PURPOSE: although laparoscopic surgery for the treatment of colorectal diseases represents a major advance, it is currently performed in less than a third of patients undergoing colectomies. The aim of this study is to analyze the initial results of laparoscopic-assisted colorectal surgeries (LACS) performed in a department of Coloproctology in a tertiary hospital, as well as to study the impact of age, gender and body mass index (BMI) and use of ultrasonic scissors or vessel sealing devices in relation to conversion rate. METHODS: this is a prospective observational study with 215 patients who underwent LACS between January 2006 and June 2010 in the Department of Coloproctology at Felicio Rocho Hospital, Belo Horizonte. The data obtained from a specific electronic database included demographics, diagnosis, use of ultrasonic scissors or vessel sealing devices, reason for conversion, duration of hospitalization, lymph node harvest in cancer specimens, complications, and deaths. RESULTS: the laparoscopic-assisted approach corresponded to 36.4% of all colorectal surgeries performed during the study period. Most patients were female (74%), with a mean age of 53.2 years. Ultrasonic scissors or vessel sealing devices were used in 32% of LACS. Specimen extraction and anastomosis were performed through an auxiliary incision in most cases. The overall conversion rate was 12%, with a decrease of 47% after the first year. We did not observe any association between conversion rate and age, gender, BMI, and the use of ultrasonic scissors and vessel sealing devices. The average hospital stay was of 7.7 days and the overall rate of complications was 20%, including 10 anastomotic leaks (4.65%). The rate of postoperative mortality was 1.86%. CONCLUSIONS: despite the difficulties related to the learning curve and unavailability of ultrasonic scissors or vessel sealing devices in most cases, the implementation of LACS in our department can be considered successful in relation to short-term results and conversion rates.
publishDate 2013
dc.date.none.fl_str_mv 2013-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jcol.2013.08.006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.33 n.4 2013
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
instname_str Sociedade Brasileira de Coloproctologia (SBCP)
instacron_str SBCP
institution SBCP
reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
collection Journal of Coloproctology (Rio de Janeiro. Online)
repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
repository.mail.fl_str_mv ||sbcp@sbcp.org.br
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