
Dennis G. Begos, M.D., F.A.C.S.,
F.A.S.C.R.S.
General and Colorectal Surgery
Laparoscopic Colorectal Surgery |
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Laparoscopic Colorectal Surgery
It is now possible to safely and effectively remove sections of the
colon (large intestine, large bowel), rectum, and small intestine (small
bowel) using laparoscopic or minimally invasive techniques. Using these
advanced techniques, the surgeon can perform an operation that
traditionally requires a large incision through 3 or 4 small incisions,
usually less than half an inch each. This results in less pain, a
shorter stay in the hospital, and faster return to normal activities
such as work and exercise. There are now many scientific studies which
confirm this (see references below). There may also be less stress to
the immune system, and fewer complications, although these haven’t been
studied as well.These minimally invasive techniques are appropriate for a wide range
of diseases, including colorectal cancer, diverticulitis, Crohn’s
disease of the small and large intestines, ulcerative colitis, colon
polyps, and many others. In fact, most colon resections can now be done
using laparoscopic techniques.
Despite this fact, most colon operations are still performed using
traditional open surgery. This is because laparoscopic bowel surgery
requires advanced training, and many general surgeons do not perform
enough colectomies to become proficient with these techniques. Dr. Begos,
a board certified Colon and Rectal surgeon, and a Fellow of the American
Society of Colon and Rectal Surgery, was fortunate to train with one of
the pioneers of laparoscopic colon surgery, Garth Ballantyne, while he
was a surgical resident at Yale. He spent one year working in Dr.
Ballantyne’s lab, studying these advanced techniques, which were being
developed at the time. In addition, Dr. Begos worked with Dr. Jeffery
Milsom during his fellowship in Colorectal Surgery at the Cleveland
Clinic. Dr. Milsom was also at the forefront of laparoscopic colon
surgery, and remains a leader in the field.
Dr. Begos is also a recognized leader in the field of laparoscopic
colon surgery. He has performed over 250 laparoscopic colon and rectal
resections, and has published several papers on the topic in peer
reviewed journals (see references below). In addition, he is involved in
teaching and preceptoring other surgeons in minimally invasive bowel
resection techniques, and has spoken on the topic at national and
international meetings.
While not every patient is a candidate for this procedure, most are.
If you require colon surgery, ask your doctor about the possibility of
performing the procedure laparoscopically, and how many laparoscopic
colectomies he or she has done. If you would like a second opinion
regarding this option, please give Dr. Begos a call.
References and suggested reading:
| 1: |
Schadde E, Smith D, Alkoraishi AS, Begos DG. |
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Hand-assisted laparoscopic colorectal surgery
(HALS) at a community hospital: a prospective analysis of 104
consecutive cases.
Surg Endosc.
2006 Jul;20(7):1077-82. Epub 2006 May 26. |
| 2: |
Naar D, Begos DG, Alkoraishi
AS. |
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Comparison of Hand Assisted vs Total
laparoscopic Colectomy: A single surgeon’s experience.
Abstract, J Soc Laparoendoscopic Surgeons, 5
(4):380 December, 2001 |
| 4: |
Begos DG, Ballantyne GH. |
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Laparoscopic Left Hemicolectomy and Anterior
Resection.
in Laparoscopic Colorectal Surgery. Monson, J.,
Darcy, D., eds. Isis Medical Media Ltd. Oxford, England, 1995;
11 38. |
| 5: |
Modlin IM, Begos DG, Ballantyne
GH. |
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Laparoscopic Gastrointestinal Surgery: Current
State of the Art.
Supplement to Clinical Gastroenterology Howard
Spiro, editor. McGraw Hill, 1994; 1 22. |
| 6: |
Begos DG, Arsenault J, Ballantyne GH. |
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Laparoscopic colon and rectal surgery at a VA
hospital. Analysis of the first 50 cases.
Surg Endosc.
1996 Nov;10(11):1050-6.
PMID: 8881050 [PubMed - indexed for MEDLINE |
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