Benefits of laparoscopic-assisted colectomy for colon polyps: A case-matched series

Tonia M. Young-Fadok, Elisabetta Radice, Heidi Nelson, W. Scott Harmsen

Research output: Contribution to journalArticle

62 Scopus citations

Abstract

Objective: To clarify the true benefits of laparoscopic assisted colectomy by comparing clinical outcomes from a series of laparoscopic right colectomies with matched open colectomies, all performed for the singular indication of polyp not amenable to colonoscopic removal. Patients and Methods: A retrospective case-matched study was performed of consecutive patients undergoing laparoscopic-assisted right hemicolectomy for polyps between January 1992 and July 1997. Each case was matched to a control undergoing the equivalent open procedure for the same indication during the same time period. Results: Thirty-eight patients undergoing laparoscopic-assisted right hemicolectomy for polyps were identified, and matches were found. The conversion rate was 18.4% (7/38), 21.4% early in the series and 10% in later experience. Operative times were longer for laparoscopic-associated colectomy (median, 208 minutes vs 150 minutes, P<.001). Laparoscopic-assisted colectomy resulted in shorter postoperative ileus (time to flatus, 3.0 vs 4.0 days, P<.001; time to bowel movement, 3.5 vs 5.0 days, P<.001) and in earlier tolerance of regular diet (3.5 vs 6.0 days, P<.001). Fewer days of narcotic administration were required by the laparoscopic group (3.0 vs 4.5 days, P<.001). This resulted in a significantly shorter length of hospital stay (4.0 vs 7.0 days, P<.001). There was no significant difference in the incidence of postoperative complications. Conclusions: Laparoscopic right hemicolectomy has significant patient benefits. These benefits are apparent when procedures of equal complexity and equivalent indications are compared. Laparoscopic-assisted resection has become our preferred approach for polyps not amenable to colonoscopic polypectomy.

Original languageEnglish (US)
Pages (from-to)344-348
Number of pages5
JournalMayo Clinic proceedings
Volume75
Issue number4
DOIs
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Medicine(all)

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