LAPAROSCOPIC INTERVENTIONS ON COLON
Objective. To assess feasibility, efficacy, and safety of laparoscopic interventions on colon.
Materials and methods. The outcomes of 66 laparoscopic interventions on colon have been analyzed.
Results. The long-term results of surgeries were shown to be comparable with the open operations and the laparoscopic technique advantages in the early post-operative period were demonstrated. Introduction of elements of the fast track surgery allowed cut the period preceding the flatus passing by 44% in the average [35.4%—52.1]%. The first defecation occurred by 56% quicker after the operation.
Conclusion. Laparoscopic colorectal surgery is relatively safe in case of most colon benign and malignant diseases. When combined with the peri-operational managing in accordance with the fast track surgery principles, it makes possible much quicker post-operational rehabilitation. As to the long-term results, a noticeable reduction of the complications number associated with intraabdominal adhesions is worth to be noted.