Surgical Endoscopy

, Volume 8, Issue 1, pp 12–18 | Cite as

Laparoscopic-assisted colon resection

  • K. A. Zucker
  • D. E. Pitcher
  • D. T. Martin
  • R. S. Ford
Original Articles


The popularity and success of laparoscopic biliary tract surgery have persuaded surgeons to explore other applications for rigid endoscopic surgery. From July 1990 to February 1993 a total of 65 patients (mean age 57 years; range 41–82) underwent attempted laparoscopic colon resection. Indications for surgical intervention included cancer (39), adenomatous polyps (14), diverticulosis (10), stricture (1), and foreign-body perforation (1). A laparoscopic-assisted technique whereby the specimen was removed and the anastomosis was completed outside of the abdomen was used in all patients. A dilated umbilical opening was used for right-sided lesions and a left-lower-quadrant muscle-splitting incision for descending and sigmoid colon resections.

Two patients required conversion to open laparotomy. There were no deaths and only four complications (pneumonia 1, urinary tract infection 1, prolonged ileus 1, and subfascial abscess 1). The mean postoperative stay was 4.4 days (range 3–8 days) and the average interval for return to normal activity was 8 days.

Laparoscopic-assisted colon resection appears to be a safe and beneficial option for many patients with pathologic disorders of the large intestine. Future clinical trials are needed to fully determine the appropriateness of this procedure in patients with localized malignancies.

Key words

Laparoscopy Colectomy Colon cancer 


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  1. 1.
    Dallemagne B, Weerts JM, Jehas C, Markiewicz S, Lombard R (1991) Laparoscopic Nissen fundoplication: a preliminary report. Surg Laparosc Endosc 1(3):138–143PubMedGoogle Scholar
  2. 2.
    Drouard F, Delamarre J, Capron JP (1991) Cutaneous seeding of gallbladder cancer laparoscopic cholecystectomy. New Engl J Med 325(18):1315Google Scholar
  3. 3.
    Fitzgibbons RJ, Salerno GM, Filipi CJ (1991) Open laparoscopy. In: Zucker KA, Bailey RW, and Reddick EJ (eds) Surgical laparoscopy. Quality Medical Publishing, St Louis, pp 87–99Google Scholar
  4. 4.
    Goh P, Tekant Y, Isaac J, Kum CK, Ngoi SS (1992) The technique of laparoscopic Billroth II gastrectomy. Surg Laparosc Endosc 2(3):258–260PubMedGoogle Scholar
  5. 5.
    Graves EJ (1989) Detailed diagnosis and procedures, National Hospital Discharge Survey: 1987 National Center for Health Statistics. Vital Health Statistics 13:1–3Google Scholar
  6. 6.
    Jacobs M, Verdejas JC, Goldstein HS (1991) Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1(3):144–150PubMedGoogle Scholar
  7. 7.
    Khatkouda N, Mouiel J (1991) A new technique of surgical treatment of chronic ulcer duodenal ulcer without laparotomy by videocoelioscopy. Am J Surg 161:361–364CrossRefGoogle Scholar
  8. 8.
    Miller R, Roe AM, Eltringham WK, Espiner HJ (1992) Laparoscopic fixation of sigmoid volvulus. Br J Surg 79:435PubMedCrossRefGoogle Scholar
  9. 9.
    Morris JB, Mullen JL, Yu JC, Rosato EF (1992) Laparoscopic guided jejunostomy. Surgery 112:96–99PubMedGoogle Scholar
  10. 10.
    Nezhat F, Nezhat C, Pennington E, Ambroze W (1992) Laparoscopic segmental resection for infiltrating endometriosis of the recto-sigmoid colon: a preliminary report. Surg Laparosc Endosc 2(3):212–216PubMedGoogle Scholar
  11. 11.
    Phillips EH, Franklin M, Carroll B, Fallas MJ, Ramos R, Rosenthal D (1992) Laparoscopic colectomy. Ann Surg 216(6):703–707PubMedCrossRefGoogle Scholar
  12. 12.
    Pier A, Gotz F, Bacher C (1991) Laparoscopic appendectomy in 625 cases: from innovation to routine. Surg Laparosc Endosc 1(1):8–13PubMedGoogle Scholar
  13. 13.
    Schlinkert RT (1991) Laparoscopic assisted right hemicolectomy. Dis Colon Rectum 34:1030–1031PubMedCrossRefGoogle Scholar
  14. 14.
    Thibault C, Mamazza J, Letourneau, Poulin E (1992) Laparoscopic splenectomy: operative technique and preliminary report. Surg Laparosc Endosc 2(3):248–253PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • K. A. Zucker
    • 1
    • 2
  • D. E. Pitcher
    • 1
    • 2
  • D. T. Martin
    • 1
    • 2
  • R. S. Ford
    • 1
    • 2
  1. 1.University of New Mexico School of MedicineAlbuquerqueUSA
  2. 2.University of Maryland School of MedicineBaltimoreUSA

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