Introduction:

Although current evidence widely supports the laparoscopic approach for resections of the colon and rectum according to their safety and oncological results, the development and adoption of the same has been slow and even today is not routine in most centers. The initial experience is presented in the Surgical Clinic 2 of the Maciel Hospital.

Methods:

A retrospective study comprising 41 laparoscopic resections in the period 2016-2018.

Results:

The mean operative time was 3 hours for colectomies and 4 hours for rectal resections. The conversion rate was 10%, the suture failure was 12% and the 30-day mortality was 13%.

Discussion:

The laparoscopic approach for colectomy and rectal resection is safe and with acceptable oncological results according to our results. The learning curve is based on the annual volume of surgeries, the performance of other advanced laparoscopy procedures and training in simulators.

Conclusions:

our experience shows immediate results similar to those reported in the national literature, although the follow-up time is still in sufficient to analyze the long-termoncological results.

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