Colectomy In Patients With Colonic Carcinoma: Laparoscopic Versus Open Methods | ||
| Minia Journal of Medical Research | ||
| Volume 31, Issue 4, October 2020, Pages 310-317 PDF (317.94 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.218148 | ||
| Authors | ||
| Yasser Baz1; Ayman Kamal1; Yasser Orban2; Mohammed M. Ezzat1 | ||
| 1Department of Surgery, Helwan University | ||
| 2Department of Surgery, Zagazig University | ||
| Abstract | ||
| Colorectal cancer is one of the most common health threatening diseases around the globe as it is the third most frequent cancer worldwide and surgical resection is the mainstay of potentially curative treatment, Using of laparoscopy in colon surgery quickly diffuse in surgical practice since its introduction in the 1990’s from an experimental infrequently performed approach to the current standard of care, as only few studies, nonrandomized and including small populations, have compared LCS to OCS, with no clear advantage of one approach over the other. Aim of the study: To compare efficacy between laparoscopic and open colectomy in patients with colonic carcinoma. Subjects and methods: A total of 134 patients attending Helwan and Zagazig University hospitals from January 2018 to January 2021 included in a prospective study. Participants were divided into two groups according to type of surgery.Group 1: included "66 patients" comprised those who had colonic with laparoscopic intervention. Group 2: included "68 patients" comprised those who had colonic carcinoma with open surgical intervention. Results: In LCS group, 54 patients had no post-operative complications while in OCS group, 36 patients had post-operative complications in the form of leakage, intra-abdominal infection, chest infection, wound infection & burst abdomen (P=0.000). There was a statistical significant difference between study groups in postoperative complications as only 12 patients of laparoscopic colectomy patients had postoperative complications. Conclusion: Laparoscopic colectomy is safe, valid and considered an effective surgical method for resection of colonic carcinoma. Recommendation: We recommend laparoscopic resection as a gold standard for patients with colonic carcinoma. | ||
| Keywords | ||
| colectomy; laparoscopic; open colectomy | ||
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