What are the advantages of laparoscopic colon resection (colectomy)?

Updated: Apr 05, 2021
  • Author: David E Stein, MD, MHCM; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Colectomies can be performed either laparoscopically or via an open abdominal incision.

The advantages of laparoscopic surgery are as follows:

  • Shorter hospital stay (which does not appear to be associated with an increased risk of readmission [34]
  • Faster return to activities of daily living
  • Lower rate of perioperative complications
  • Decreased formation of adhesions, and thus reduced occurrence of intestinal obstruction

In a retrospective cohort evaluation of 716 consecutive patients who underwent bowel resection at the Cleveland Clinic, laparoscopic access significantly reduced the incidence of small-bowel obstruction as compared with the open procedure. [35]


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