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Inicio Cirugía Española Complicaciones postoperatorias en cirugía laparoscópica del colon
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Vol. 72. Issue 4.
Pages 232-239 (October 2002)
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Vol. 72. Issue 4.
Pages 232-239 (October 2002)
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Complicaciones postoperatorias en cirugía laparoscópica del colon
Postoperative complications after laparoscopic surgery of the colon
Visits
20059
Rafael Blanco-Engerta,1
Corresponding author
rblanco@web.de

Correspondencia: Dr. R. Blanco Engert. Am Dornbusch 2. 60320 Frankfurt am Main.
, Rafael Díaz Maagb, Miguel Gascóne, Fernando Delgado Gomisc, Raul Rosenthald, Rudolf Weinera
a Chirurgische Klinik Krankenhaus Sachsenhausen/MIC Zentrum Rhein-Main, Alemania
b Hospital de Mérida
c Servicio de Cirugía. Hospital Universitario Dr. Peset. Valencia
d Head of the Department for Minimally Invasive Surgery. Cleveland Clinic. Florida, EE. UU
e Universitätsklinikum Frankfurt. Alemania
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Resumen

La aparición de complicaciones postoperatorias en la cirugía laparoscópica del colon es dependiente de la capacidad técnica del cirujano y de la curva de aprendizaje. Comparado con la cirugía laparotómica, la infección de la herida quirúrgica es menos frecuente, y no se observan diferencias en las complicaciones mayores (fuga anastomótica, estenosis). El talón de Aquiles de esta cirugía es la técnica de doble grapado. La técnica laparoscópica parece reducir la morbilidad general de la cirugía colorrectal

Palabras clave:
Complicaciones postoperatorias
Resección colorrectal
Morbilidad
Laparoscopia
Cáncer colorrectal

Postoperative complications after laparoscopic surgery of the colon depend on the surgeon’s laparoscopic skills and the learning curve. Compared with open surgery, the frequency of wound infection is lower. There are no marked differences in major complications (leakage, stenosis) between open and laparoscopic procedures. The double-stapling technique is the Achilles-heel of the laparoscopic approach. In general, morbidity after colorectal surgery seems to be lower when laparoscopic procedures are used

Key words:
Postoperative complications
Colorectal resections
Morbidity
Colorectal cancer
Laparoscopy
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