Our Summary

This research paper looks at the increasing use of laparoscopy, a minimally invasive surgery technique, in colorectal surgery over a 10-year period. Using a database from the American College of Surgeons, researchers found that from 2005 to 2014, the number of colorectal surgeries performed using laparoscopy increased from 22.7% to nearly 50%. The study also found that the use of laparoscopic surgery increased in all age groups, across all body mass index (BMI) categories, and in most categories of health status. The only exception was the most severe health status category. The use of laparoscopy in emergency cases also doubled during this period. These trends suggest that laparoscopic surgery is becoming more widely adopted, including in more complex and higher-risk cases.

FAQs

  1. What is the main finding of the research paper on the use of laparoscopy in colorectal surgery?
  2. Did the use of laparoscopic surgery increase across all health status categories over the 10-year period studied?
  3. Did the use of laparoscopy in emergency cases change during the period from 2005 to 2014?

Doctor’s Tip

A helpful tip a doctor might give a patient about colorectal surgery is to discuss the option of laparoscopic surgery with their surgeon. This minimally invasive technique can lead to faster recovery times, less pain, and fewer complications compared to traditional open surgery. It is important for patients to have an open and informed conversation with their surgeon about the best approach for their specific case.

Suitable For

Patients who are typically recommended colorectal surgery include those with colorectal cancer, inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis), diverticulitis, colorectal polyps, colorectal bleeding, and other conditions affecting the colon and rectum. In some cases, colorectal surgery may also be recommended for patients with severe constipation or fecal incontinence that does not respond to other treatments.

Colorectal surgery may be recommended if other treatments, such as medication or lifestyle changes, have not been effective in managing the underlying condition. The decision to undergo colorectal surgery is typically made in collaboration with a colorectal surgeon and may take into account factors such as the severity of the condition, the patient’s overall health status, and their personal preferences.

In general, patients who are in good overall health and have a lower BMI are more likely to be recommended for laparoscopic colorectal surgery, as this approach is associated with shorter recovery times, less pain, and fewer complications compared to traditional open surgery. However, laparoscopic surgery may still be an option for some patients with higher BMI or more complex health issues, as advances in surgical techniques and technology continue to improve outcomes for a wider range of patients.

Timeline

Before colorectal surgery:

  • Patient is diagnosed with a colorectal condition such as colorectal cancer, diverticulitis, or inflammatory bowel disease.
  • Patient undergoes preoperative tests and evaluations to assess their overall health and suitability for surgery.
  • Patient may need to make lifestyle changes, such as quitting smoking or losing weight, to reduce surgical risks.
  • Patient meets with a colorectal surgeon to discuss surgical options and expectations for recovery.

After colorectal surgery:

  • Patient undergoes the surgical procedure, which may be performed using laparoscopic or traditional open surgery techniques.
  • Patient is closely monitored in the hospital for complications such as infection, bleeding, or bowel obstruction.
  • Patient may experience pain, discomfort, and fatigue in the immediate postoperative period.
  • Patient gradually resumes eating and drinking, starting with clear liquids and progressing to solid foods.
  • Patient begins physical therapy and rehabilitation to regain strength and mobility.
  • Patient follows up with their colorectal surgeon for postoperative care, including monitoring for recurrence of their condition and adjusting medications as needed.

What to Ask Your Doctor

  1. What are the potential benefits of laparoscopic colorectal surgery compared to traditional open surgery?
  2. What are the potential risks and complications associated with laparoscopic colorectal surgery?
  3. How experienced is the surgeon in performing laparoscopic colorectal surgery?
  4. What is the expected recovery time and post-operative care for laparoscopic colorectal surgery?
  5. Are there any specific pre-operative preparations or restrictions I should be aware of?
  6. How will my pain be managed after the surgery?
  7. What is the long-term outlook for patients who undergo laparoscopic colorectal surgery?
  8. Will I need any additional treatments or follow-up care after the surgery?
  9. How soon can I return to normal activities, such as work or exercise, after the surgery?
  10. Are there any lifestyle changes or dietary recommendations I should follow post-surgery to promote healing and prevent complications?

Reference

Authors: Davis CH, Shirkey BA, Moore LW, Gaglani T, Du XL, Bailey HR, Cusick MV. Journal: J Surg Res. 2018 Mar;223:16-21. doi: 10.1016/j.jss.2017.09.046. Epub 2017 Nov 9. PMID: 29433869