From November 1993 to December 1995, 49 colonic operations were perfor
med by a videolaparoscopic assisted approach. Indications were maligna
nt conditions in 10 cases, benign diseases in 39 cases (diverticular d
isease: 28, benign tumour: 9, reversal of Hartmann's procedure: 1, vol
vulus: 1). Conversion to a classical procedure was necessary in 6 pati
ents. There was no mortality and 6 postoperative complications (3 reop
erations). Colonic surgery this type of (laparoscopic-assisted operati
ons) is technically feasible. It reduces the rate of post-operative wo
und complications and decreases the post-operative stay. It can be rec
ommended for the surgical treatment of benign colonic diseases.