Gasless laparoscopy-assisted colorectal surgery

J. K. Jiang*, W. S. Chen, S. H. Yang, T. C. Lin, J. K. Lin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Laparoscopy has gained wide acceptance as a treatment modality in a variety of colonic and rectal disorders. Currently, most laparoscopic procedures are performed using a carbon dioxide (CO2) pneumoperitoneum, which can lead to cardiopulmonary loading and subsequent complications. The object of this study was to assess the feasibility of gasless laparoscopy-assisted colorectal surgery (GLACS) as an alternative method. Methods: Patients with benign colonic lesions were enrolled in the study. The operative field was exposed with a subcutaneous wire lifting system. A small incision, ∼5 cm in length, was made early in the operation. The surgeon operated through the trocar ports and this incision using both laparoscopic and conventional instruments. The cardiopulmonary responses of the patients were monitored continuously during the operation. Results: Fifteen consecutive patients underwent GLACS. In two patients (13.3%), conversion to open surgery was necessary. The exposure and ease of the procedure were acceptable. However, when the patients were stratified into hemicolectomy and sigmoidectomy groups, GLACS scored more favorably in the sigmoidectomy group. There were no operative deaths. One minor complication developed postoperatively. All of the patients recovered uneventfully, with return of bowel function in 2.8±0.1 days. The mean post-operative hospital stay was 6.4±0.4 days. The cardiac and pulmonary status of the patients remained stable during the operation. Conclusion: Gasless laparoscopy-assisted colorectal surgery is technically feasible; thus, it provides an alternative means for the performance of minimal-access surgery.

Original languageEnglish
Pages (from-to)1093-1097
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume15
Issue number10
DOIs
StatePublished - 2001

Keywords

  • Colorectal surgery
  • Gasless laparoscopy
  • Lifting devices
  • Minimal-access surgery

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