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Laparoscopic Colorectal Surgery
All colorectal surgical resections are amenable to treatment by laparoscopic means and worldwide these operations are accepted as being superior to conventional open surgery. The methods employed for each type of operation are similar but vary in complexity.
Laparoscopic bowel surgery has been shown in numerous worldwide randomised controlled trials to reduce post operative pain and length of hospital stay as well as to reduce complications and promote an earlier return to normal activities.
The laparoscopic approach to bowel resection is fully endorsed in the UK by NICE. The benefits to patients are so highly valued that the Department of Health recently funded a national initiative to train more consultants in laparoscopic colorectal techniques.
The techniques involve insertion of a laparoscope (camera) into the abdominal cavity along with surgical instruments through a number of small port-sites. The bowel is freed from its attachments, its blood supply is divided, the bowel ends cut and sealed and the diseased segment removed. The bowel is rejoined where possible using stitches and/ or staples either within or outside the abdominal cavity.