metricas
covid
Buscar en
Cirugía Española
Toda la web
Inicio Cirugía Española Complicaciones postoperatorias en cirugía laparoscópica del colon
Información de la revista
Vol. 72. Núm. 4.
Páginas 232-239 (octubre 2002)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 72. Núm. 4.
Páginas 232-239 (octubre 2002)
Acceso a texto completo
Complicaciones postoperatorias en cirugía laparoscópica del colon
Postoperative complications after laparoscopic surgery of the colon
Visitas
20182
Rafael Blanco-Engerta,1
Autor para correspondencia
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
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
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
El Texto completo está disponible en PDF
Bibliografía
[1.]
E. Bärlehner, B. Heukrodt, R. Schwetling.
Laparoskopische Chirurgie der Sigmadivertikulitis.
Zentralbl Chir, 123 (1998), pp. 13-16
[2.]
P.L. Benn, B.G. Wolff, D.M. Ilstrup.
Level of anastomosis and recurrent colonic diverticulitis.
Am J Surg, 151 (1986), pp. 269-271
[3.]
R. Bergamaschi, J.P. Arnaud.
Intracorporal colorectal anastomosis following laparoscopic left colon resection.
Surg Endosc, 11 (1997), pp. 800-801
[4.]
C.L. Bennett, S.J. Stryker, M.R. Ferreira, J. Adams, R.W. Beart.
The learning curve for laparoscopic colorectal surgery. Preliminary results from a prospective analysis of 1194 laparoscopic-assisted colectomies.
Arch Surg, 132 (1997), pp. 41-44
[5.]
Blanco Engert R, Weiner R, Ziegler B, Bockhorn H. (2000) Laparoscopy for colorectal surgery-sigmoideal resection techniques and implications. 8th EAES Congress; 2000, junio 28-julio 1; Nice, 2000
[6.]
C.J. Bruce, J.A. Coller, J.J. Murray, D.J. Schoetz, P.L. Roberts, L.C. Rusin.
Laparoscopic resection for diverticular disease.
Dis Colon Rectum, 39 (1996), pp. S1-6
[7.]
F. Delgado, J.M. Bolufer, D.E. Grau, D.C. Domingo, F. Serrano, S. Gomez.
Laparoscopic colorectal cancer resection: initial follow up results.
Surg Endosc, (1999), pp. A98-99
[8.]
M.E. Franklin, D. Rosenthal, D. Abrego-Medina, J.P. Dorman, J.L. Glass, R. Norem, et al.
Prospective comparison of open vs. Laparoscopic colon surgery for carcinoma. Five-year results.
Dis Colon Rectum, 39 (1996), pp. 35-46
[9.]
Franklin ME, Almeida JA, Santos AA, Glass JL, Abrego D. Laparoscopic colectomy for cancer. 8-year experience and follow-up. 8th EAES Congress, EAES Expert’s Opinion Conference On Colonic Cancer by Elective Laparoscopy; 2000, junio 28-julio 1; Nice
[10.]
M.A. Fusco, M.W. Paluzzi.
Abdominal wall recurrence after laparoscopic assisted colecomy for denocarcinoma of he colon. Report of a case.
Dis Colon Rectum, 36 (1993), pp. 858-861
[11.]
C.N. Gutt, V. Riemer, Z.G. Kim, C.A. Jacobi, V. Paolucci, M. Lorenz.
Impact of laparoscopic coöonic resection on tumor growth and spread in an experimental model.
Br J Surg, 86 (1999), pp. 1180-1184
[12.]
G.C. Hoffman, J.W. Baker, C.W. Fitchet, J.H. Vansant.
Laparoscopic-assisted colectomy: initial experience.
Ann Surg, 219 (1994), pp. 732-743
[13.]
M. Hotokezaka, J. Dix, E.P. Mentis, J.S. Minasi, B.D. Schirmer.
Gastrointestinal recovery following laparoscopic versus open colon surgery.
Surg Endosc, 10 (1996), pp. 485-489
[14.]
E.S.R. Hughes, F.T. McDermott, A.L. Polglase, W.E. Johnson.
Tumor recurrence in the abdominal wall scar after cancer surgery.
Dis colon Rectum, 36 (1983), pp. 571-572
[15.]
C. Huscher, G. Silecchia, E. Croce, G.A. Farello, E. Lezoche, M. Morino, et al.
Laparoscopic colorectal resection: a multicenter Italian study.
Surg Endosc, 10 (1996), pp. 875-879
[16.]
P. Jacquet, P.H. Sugarbaker.
Wound recurrence after laparoscopic colectomy for cancer: new rationale for intraoperative intraperitoneal chemotherapy.
Surg Endosc, 10 (1996), pp. 295-296
[17.]
T.M. Khalili, P.R. Fleshner, J.R. Hiatt, T.P. Sokol, C. Manookian, G. Tsushima, et al.
Colorectal cancer: comparison of laparoscopic with open approaches.
Dis Colon Rectum, 41 (1998), pp. 832-838
[18.]
F. Köckerling, C. Schneider, M.A. Reymond, H. Scheidbach, J. Konradt, E. Barlehner, et al.
Early results of a prospective multicenter study on 500 consecutive cases of laparoscopic colorectal surgery.
Surg Endosc, 12 (1998), pp. 37-41
[19.]
F. Köckerling, M.A. Reymond, C. Schneider, C. Withekind, H. Scheidbach, J. Konradt, et al.
Prospective multicenter study of the quality of oncologic resections in patients undergoing laparoscopic colorectal surgery for cancer.
Dis Colon Rectum, 41 (1998), pp. 963-970
[20.]
F. Köckerling, C. Schneider, M.A. Reymond, H. Scheidbach, H. Scheuerlein, J. Konradt, et al.
Laparoscopic resection of sigmoid diverticulitis. Results of a multicenter study.
Surg Endosc, 13 (1999), pp. 567-571
[21.]
F. Köckerling.
European Surgical Institute, (1999),
[22.]
Köckerling F, Reymond MA, and the Laparoscopic Colorectal Surgery Study Group. Quality control of laparoscopic curative resections for colorectal cancer. EAES Expert’s Opinion Conference on Colonic Cancer by Elective Laparoscopy. 8th EAES Congress; 2000, junio 28-julio 1, Nice
[23.]
A.M. Lacy, J.C. García-Valdecasas, J.M. Piqué.
Short outcome analysis of randomized study comparing laparoscopic vs. open colectomy for cancer.
Surg Endosc, 9 (1995), pp. 1101
[24.]
A.M. Lacy, J.C. García-Valdecasas, S. Delgado, L. Grande, J. Fuster, J. Tabet, et al.
Postoperative complications of laparoscopic-assisted colectomy.
Surg Endosc, 11 (1997), pp. 119-122
[25.]
A.M. Lacy, S. Delgado, J.C. García-Valdecasas, A. Castells, J.M. Piqué, L. Grande, et al.
Port site metastases and recurrence after laparoscopic colectomy. A randomized trial.
Surg Endosc, 12 (1998), pp. 1039-1042
[26.]
A.M. Lacy.
Laparoscopic colectomy for colon cancer. SAGES-Meeting 1999, San Antonio, Texas, USA, March 24-27.
Surg Endosc, 13 (1999), pp. 1-94
[27.]
Lacy AM, Delgado S, García-Valdecasas JC, Pera M. Laparoscopic colectomy vs conventional surgery in the treatment of colon carcinoma. Randomized study. EAES Expert’s Opinion Conference on Colonic Cancer by Elective Laparoscopy. 8th EAES Congress; 2000, junio 28-julio 1; Nice
[28.]
S.A. Lord, S.W. Larach, A. Ferrara, P.R. Williamson, C.P. Lago, M.W. Lube.
Laparoscopic resections for colorectal carcinoma; a three-years experience.
Ann Surg, 223 (1996), pp. 170-176
[29.]
V. Mais, S. Ajossa, S. Guerriero, M. Mascia, E. Solla, G.B. Melis.
Laparoscopic versus abdominal hysterectomy: a prospective. randomized trial to evaluate beneflis in early outcome.
Am J Obstet Gynecol, 174 (1996), pp. 654-658
[30.]
V. Mais, S. Ajossa, B. Piras, D. Margongiu, S. Guerriero, G.B. Melis.
Treatment of nonendometric benign adnexal cysts: a randomized comparison of laparoscopy and laparatomy.
Obstet Gynccol, 86 (1995), pp. 770-774
[31.]
P.W. Marcello.
European Surgical Institute, (1999),
[32.]
J.W. Milsom, B. Böhm, K.A. Hammerhofer, V. Fazio, E. Steiger, P. Elson.
A prospective randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report.
J Am Coll Surg, 187 (1998), pp. 55-57
[33.]
J.R.T. Monson, A. Darzi, P. Declan Carey, P.J. Guillou.
Prospective evaluation of laparoscopic-assisted colectomy in an unselected group of patients.
Lancet, 340 (1992), pp. 831-833
[34.]
K.D. Munson, M.A. Hensien, L.N. Jacob, A.M. Robinson, W.A. Liston.
Diverticulitis: a comprehensive follow-up.
Dis Colon Rectum, 39 (1996), pp. 319-322
[35.]
D. Mutter, A. Hajri, V. Tassetti, C. Solis-Caxaj, M. Aprahamian, J. Marescaux.
Increased tumor growth and spread after laparoscopy vs laparotomy. Influence of tumor manipulation in a rat model.
Surg Endosc, 13 (1999), pp. 365-370
[36.]
E. Neugebauer, S. Sauerland.
Recommendations for evidence-based endoscopic surgery.
[37.]
A.E. Ortega, J.H. Peters, R. Estrada, L. Incarbone, A. Ehsan, Y. Kwan, et al.
A prospective randomized comparison of laparoscopy and open cholecystectomy.
J Am Coll Surg, 183 (1996), pp. 249-256
[38.]
A. Reymond, G. Meroni, A. Fantozzi, G. Merla, S. Cairo, L. Luzi, et al.
The tripartite motif family identiffies cell compartements.
EMBO J, 20 (2001), pp. 2140-2151
[39.]
T.H. Schiedeck, O. Schwandner, H.P. Bruch.
Laparoskopische Sigmaresektion bei Divertikulitis.
Chirurg, 69 (1998), pp. 846-853
[40.]
T.H.K. Schiedeck, O. Schwandner, I. Baca, E. Baehrlehner, J. Konradt, et al.
Laparoscopic surgery for the cure of colorectal cancer.
Dis Colon Rectum, 43 (2000), pp. 1-8
[41.]
R.T. Schlinkert.
Laparoscopic assisted right Hemicolectomy.
Dis Colon Rectum, 34 (1991), pp. 1030-1031
[42.]
W. Schwenk, B. Böhm, J.M. Müller.
Laparoskopische oder konventionelle kolorektale Resektionen – Beeinfluβt die Operationstechnik die postoperative Lebensqualität?.
Zentralbl Chir, 123 (1998), pp. 483-490
[43.]
W. Schwenk, B. Böhm, J. Müller.
Postoperative pain and fatigue after laparoscopic or coventional colorectal resections.
Surg Endos, 12 (1998), pp. 1131-1136
[44.]
M.E. Sher, F. Agachan, M. Bortul, J.J. Nogueras, E.G. Weiss, S.D. Wexner.
Laparoscopic surgery for diverticulitis.
Surg Endosc, 11 (1997), pp. 264-267
[45.]
F. Siriser.
Laparoscopic-assisted colectomy for diverticular disease. A single-surgeon prospective study of 65 patients.
Surg Endosc, 13 (1999), pp. 811-813
[46.]
K. Slim, J. Stecl, K. Lagha.
Prospective analysis of 40 initial laparoscopic colorectal resections: a plea for a randomized trial.
J Laparoendosc Surg, 4 (1994), pp. 241-244
[47.]
K. Slim, D. Pezet, Y. Riff, E. Clark, J. Chipponi.
High morbidity rate after converted laparoscopic colorectal surgery.
Br J Surg, 82 (1995), pp. 1406-1408
[48.]
K. Smedh, S. Skullman, A. Kald, B. Anderberg, P.O. Nyström.
Laparoscopic bowel mobilization combined with intraoperative colonoscopic polypectomy in patients with an inaccessible polyp of the colon.
Surg Endosc, 11 (1997), pp. 643-644
[49.]
JJT Tate, S. Kwok, J.W. Dawson, W.Y. Lau, A.K.C. Li.
Prospective comparison of laparoscopic and conventional anterior resection.
Br J Surg, 80 (1993), pp. 1396-1398
[50.]
T.M. Young-Fadok, E. Radice, H. Nelson, W.S. Harmsen.
Benefits of laparoscopic- assisted colectomy for colon polyps: a case-matched series.
Mayo Clin Proc, 75 (2000), pp. 344-388
[51.]
S.D. Wexner, S.M. Cohen, O.B. Johansen, J.J. Nogueras, D.G. Jagelmann.
Laparoscopic colorectal surgery: a prospective assessment and current perspective.
Br J Surg, 80 (1993), pp. 1602-1605
[52.]
S.D. Wexner, S.M. Cohen.
Port site metastases after laparoscopic colorectal surgery for cure of malignancy.
Br J Surg, 82 (1995), pp. 295-298
[53.]
A.R. Wychulis, O.H. Beahrs, E.S. Judd.
Surgical management of diverticulitis of the colon.
Surg Clin Narth Am, 47 (1967), pp. 961-969
[54.]
K.A. Zucker, D.E. Pitcher, D.T. Martin, R.S. Ford.
Laparoscopic assisted colon resection.
Surg Endosc, 8 (1994), pp. 12-18
Copyright © 2002. Asociación Española de Cirujanos
Descargar PDF
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Quizás le interese:
10.1016/j.ciresp.2024.03.008
No mostrar más