Colectomy in Patients with Colonic Carcinoma: Laparoscopic Versus Open Methods

Document Type : Original Article

Authors

1 General Surgery department, Faculty of Medicine, Zagazig University, Egypt.

2 Faculty of medicine, Zagazig University

3 Faculty of medicine zagazig university egypt

4 Faculty of medicine, Zagazig univeristy

Abstract

Introduction: colon cancer is one of the most common cancers all over the world. There are many methods for surgical removal of the cancer as open conventional colectomy and laparoscopic colectomy. The aim of this study is to compare between the two methods to establish the advantages and disadvantages of laparoscopic colectomy in comparison to open colectomy.

Methods: Patients were divided into 2 groups according to the type of surgical interference. Group 1: included "15 patients" comprised those who had colonic carcinoma with laparoscopic intervention. Group 2: included "15 patients" comprised those who had colonic carcinoma with open surgical intervention. This study included patients with colonic carcinoma were admitted to Zagazig University Hospitals. Cases were collected in the period from December 2016 to December 2018.

Results: the results showed that there are no significant differences between laparoscopic colectomy and open colectomy. Laparoscopic colectomy showed advantages over open colectomy in terms of short hospital stay (P=0.02), rapid recovery, early return to work and good oncological outcomes.

Conclusion: Laparoscopic colectomy can be performed with good technical efficiency, quick recovery of bowel function, and mild disability, less operative blood loss, less operative trauma and shorter hospital stay. The short-term oncologic results of laparoscopic colectomy seem to be acceptable and comparable with conventional methods. We recommend using Laparoscopic colectomy in colonic carcinoma as a gold standard in our hospital to get the aforementioned advantages.

Keywords

Zagazig University Medical Journal
Volume 26, Issue 2
Surgery - Obstetrics & Gynecology - Radiological Sciences
March 2020
Pages 196-203

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