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Advantages and Disadvantages of Laparoscopic Colorectal Surgery

  • Chapter
Laparoscopic Colorectal Surgery

Abstract

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.

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Author information

Authors and Affiliations

  1. Section of Colorectal Surgery Research, Department of Colorectal Surgery, The Cleveland Clinic Foundation, 44195-5044, Cleveland, OH, USA

    Jeffrey W. Milsom MD (Head)

  2. Universitätsklinik und Poliklinik für Chirurgie, Universitätsklinikums Charité, 10098, Berlin, Germany

    Bartholomäus Böhm MD, PhD (Assistant Professor of Surgery)

Authors
  1. Jeffrey W. Milsom MD
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  2. Bartholomäus Böhm MD, PhD
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© 1996 Springer Science+Business Media New York

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Milsom, J.W., Böhm, B. (1996). Advantages and Disadvantages of Laparoscopic Colorectal Surgery. In: Laparoscopic Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2532-2_12

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  • DOI: https://doi.org/10.1007/978-1-4757-2532-2_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2534-6

  • Online ISBN: 978-1-4757-2532-2

  • eBook Packages: Springer Book Archive

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