LAPAROSCOPIC ASSISTED RIGHT HEMICOLECTOMY

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

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.