LAPAROSCOPIC ASSISTED RIGHT HEMICOLECTOMY

AN EXPERIENCE OF LAPAROSCOPIC ASSISTED RIGHT HEMICOLECTOMY IN BENIGN DISEASE---TUBERCULOSIS

Authors

  • EHSAN UR REHMAN Allama Iqbal Medical College, Lahore
  • KAMRAN ALI Allama Iqbal Medical College, Lahore
  • SHAHZAD AVAIS Punjab Medical College, Faisalabad
  • Ghulam Mustafa Allama Iqbal Medical College, Lahore.
  • Masood Rashid Allama Iqbal Medical College, Lahore

DOI:

https://doi.org/10.29309/TPMJ/2012.19.04.2285

Keywords:

Right Hemicolectomy, Ileoceacal tuberculcosis, Laproscopy

Abstract

Objective: To assess the outcome of laparoscopic assisted right hemicolectomy in benign diseases like tuberculosis. Study
design: Prospective observational study. Setting: Surgical unit –I of Jinnah Hospital Lahore. Period: Jan 2009 and June 2010. Material and
Methods: This study included a series of twenty patients with preoperative clinical diagnosis of ileocecal tuberculosis. A three trocar technique
was used to perform laparoscopic right hemi colectomy and anastomosis was performed outside the abdomen by extending the supraumbilical
incision. Results: Data of 20 patients who underwent laparoscopic assisted right hemicolectomy was analyzed. Mean age of the patients was
27.5 years with male to female ratio 4:1 (Table-I). There was zero conversion(0%) to open surgery and no intra-operative complications(0%)
were observed. Average hospital stay was 5.8 days. No patient had to be re operated. On histopathology of specimen final diagnosis was 95%
ileo cecal tuberculosis and one patient (5%) turned out to be having lymphoma (Table-III). Conclusions: The laparoscopic colon surgery can
produce excellent results in selected patients of abdominal tuberculosis. Advantages of laparoscopic over open surgery include less
postoperative pain, short-term postoperative ileus, earlier return to daily activity.

Author Biographies

EHSAN UR REHMAN, Allama Iqbal Medical College, Lahore

Assistant Professor of Surgery 

KAMRAN ALI, Allama Iqbal Medical College, Lahore

Senior Registrar Surgery 

SHAHZAD AVAIS, Punjab Medical College, Faisalabad

Professor of Surgery

Ghulam Mustafa, Allama Iqbal Medical College, Lahore.

Professor of Surgery

Masood Rashid, Allama Iqbal Medical College, Lahore

Professor of Surgery

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Published

2012-08-07