Advanced laparoscopy in our gastroenterologic surgical practice

Introduction: Laparoscopy has gained wide acceptance for the treatment of gall bladder diseases. Despite the good international data the use of advanced laparoscopy is spreading quite slowly in Hungary. We publish the results of our first series of patients operated with advanced laparoscopic technique.

Patients: Between October 2008 and February 2009 we performed 7 laparoscopic colorectal resections. We did 1 right hemicolectomy, 4 left sided resections, 1 anterior rectal resection and 1 abdominoperineal rectal exstirpation. We did not have intra-operative complication. The mean operating time was 220 minutes. Only one patient had to be transfused. We experienced early bowel movements and discharged our patients on the 6th postoperative day. Besides the colorectal operations we also performed two Nissen-Rosetti fundoplication for GERD and sliding hiatal hernias. One patient underwent right laparoscopic adrenalectomy and cholecystectomy. Also, one 23 year old female patient who developed a nodule between the celiac trunk and the upper border of the pancreas had her tumor removed via laparoscopy. The tumor proved to have neuroendocrine origin. The key steps of the operations will be presented in video.

Conclusion: The spread of the advanced laparoscopy in Hungary can be anticipated. In our practice these procedures could be performed within reasonable operating time. We did not have any serious complications so far. The advantages of laparoscopy (shorter hospital stay, quicker bowel recovery, diminished postoperative pain, better cosmetic result) can be observed in our material.