Table 1. Laparoscopic colorectal procedures (April 1, 1992 - December 31, 1996). (b = benign; m = malignant) Laparoscopic Colectomy: the Absolute Need for a Standard Operative Technique, Croce E. Operation Patients Right colectomy 28 (2b/26m) Left colectomy 60 (16b/44m) Miles 12 (m) Anterior resection 30 (2b/28m) Transverse resection 4 (2b/2m) Left flexure resection 4 (m) Hartmann's 13 (m) Reversal of Hartmann's 3 (2b/lm) Rectopexy 1 (b) Other 3 (m) Total 158 (24b/134m) Assisted 20 (2b/18m) 48 (13b/35m) 10 (m) 19 (lb/18m) 4 (2b/2m) 2 (m) 7 (m) 3 (2b/lm) Kb) 3 (m) 117 (20b/97m) Facilitated 2 (m) 7 (3b/4m) 0 8 (lb/7m) 0 2 (m) 0 0 0 0 19 (4b/15m) Bulky tumors and/or contaminating adjacent structures Adhesions Obesity Difficult mobilization of the rectum Resectable metastases Intraoperative hypercapnia Imperfect anastomosis Ureteral injury Tumor not visualized Difficult coloepiplioc detachment Total Table 2. Causes of conversion. 16/158 8/158 5/158 3/158 2/158 2/158 2/158 1/158 1/158 1/158 41/158 Table 3. Intraoperative and postoperative complications. Converted 6 (m) 5 (m) 2 (m) 3 (m) 0 0 6 (m) 0 0 0 22 (m) 10.1 % 5 % 3.1 % 1.8 % 1.2 % 1.2 % 1.2 % 0.6 % 0.6 % 0.6 % 25.9 % % 71 % 81 % 83.3 % 63.3 % 100 % 50% 58.3 % 100 % 100 % 100 % 74.1 % Complications Anastomotic leak Anastomotic fistula Wound infection Hemorrhage Anastomotic stenosis Colic iatrogenic perforation Vesicle injury Ureteral injury Rotation of the anastomosis Rectovaginal fistula Obstruction Total 222 Pts. 4 6 7 4 (1 intraoperative) 4 1 1 (intraoperative) 1 (intraoperative) 1 1 1 31/158 (19.6 %) JSLS (1997)1:217-224 Reoperation 2 2 1 2 1 1 9/158 (5.6 %)