Advantages and Disadvantages of Laparoscopic Colorectal Surgery

  • Jeffrey W. Milsom
  • Bartholomäus Böhm


A responsible approach to developing new surgical techniques must consider the risks and benefits of the techniques at every point so surgical outcome is constantly maximized for all patients undergoing the new surgical treatment. The simple fact that a surgical technique can be performed does not justify its use. Laparoscopic techniques in gallbladder surgery clearly benefit the patient: there is less reduction in pulmonary function,1–3 probably less postoperative pain,4–7 and much faster recovery8 after laparoscopic cholecystectomy as compared with conventional cholecystectomy. These benefits are so evident that a prospective randomized trial to demonstrate them will probably never be performed. Despite the advantages of laparoscopic gallbladder surgery, it is not obvious why surgeons should adopt these techniques for colorectal surgery. Unlike surgery for gallbladder disease, surgical treatment of abdominopelvic disease often requires extensive mobilization and removal of a large section of intestine—it could be argued that the direct and wide exposure that the long abdominal incisions used in conventional surgery provides might outweigh other benefits of laparoscopic surgery.


Pulmonary Function Laparoscopic Cholecystectomy Intestinal Motility Conventional Surgery Postoperative Ileus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Jeffrey W. Milsom
    • 1
  • Bartholomäus Böhm
    • 2
  1. 1.Section of Colorectal Surgery Research, Department of Colorectal SurgeryThe Cleveland Clinic FoundationClevelandUSA
  2. 2.Universitätsklinik und Poliklinik für ChirurgieUniversitätsklinikums CharitéBerlinGermany

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