Minimally Invasive Colorectal Surgery

Minimally Invasive Colorectal Surgery

Minimally Invasive Colorectal Surgery

Each year, more than 600,000 surgical procedures are performed in the United States to treat a number of colon diseases. Patients undergoing traditional "open" colon surgery often face a long and difficult recovery, as these procedures are highly invasive and often require long midline incisions. Surgery results in an average hospital stay of a week or more and usually 6 weeks of recovery.

In 1990, minimally invasive techniques were introduced to the field of colorectal surgery with the performance of the first laparoscopic right hemicolectomy. Within a year, surgeons began using minimally invasive techniques to treat a variety of colorectal diseases. Today, virtually all colon and rectal diseases amenable to surgical treatment can be approached laparoscopically. Right, left, and low anterior colon resection for colon polyps and cancer; ileostomy and colostomy creation and closure; sigmoid resection for diverticulitis; and proctocolectomy with ileoanal J-pouch formation for ulcerative colitis are all performed regularly at both academic and community centers using laparoscopy. The indications for surgery are the same, whether the approach is through a standard incision or by laparoscopic technique. In fact, most patients can be considered candidates for a laparoscopic approach, even those with a history of abdominal surgery.

Numerous reports have since been published which show the benefits of laparoscopic colorectal procedures over the conventional open approach including fewer wound complications, less postoperative pain, faster recovery times, shorter hospital stays, reduced need for blood transfusions, earlier return of bowel function, possible immune benefits, and smaller scars.

Minimally invasive colorectal surgery continues to evolve and includes not only "pure" laparoscopic techniques, but also hand-assist devices. Use of a hand-assist device decreases the learning curve associated with laparoscopy, provides tactile feedback for the surgeon, and shortens operating-room time while still preserving many of the advantages of laparoscopic surgery. By combining laparoscopic surgery with the tactile feedback of a hand-assist device, surgeons can reduce operating-room time and have a lower procedure conversion rate. Several clinical trials have demonstrated that there is no difference in patient recovery or discharge for laparoscopic versus hand-assisted techniques.

These are exciting times in the field of surgery, and as technology marches forward newer techniques will continue to advance the quality of patient care.

POST COMMENT

How To Firm Up Face Skin Naturally Without Expensive Surgery After Your Bariatric Surgery Growing use of Cosmetic Surgery in Toronto Considering Surgery For Your Chronic Sinus Infection What Is Thyroid Surgery? Cosmetic Surgery Is Now A Method For Normal People Bariatric Surgery Basics: The Risks And Benefits Of Roux-en-y Surgery Cosmetic Surgery in Los Angeles Chin Augmentation Surgery - Benefits And Risks Cosmetic Surgery: Atlanta has got it Getting Rid of Gallstones without Surgery Cosmetic Surgery - Research Evidence Suggests That It May Not Leave You Any Happier When To Consider A Stomach Reduction Surgery Procedure