Clinical outcomes of laparoscopic completely intracorporeal versus right open hemicolectomy in colon carcinoma | ||
| The Egyptian Journal of Surgery | ||
| Volume 40, Issue 2, April 2021 PDF (1.18 M) | ||
| DOI: 10.4103/ejs.ejs_11_21 | ||
| Authors | ||
| Mohamed Samir; Mohamed Selima; Mohamed R. Abdelfattah | ||
| Abstract | ||
| Background Right hemicolectomy can be performed using either a conventional open or a minimally invasive laparoscopic technique. It is not yet clear whether these different access routes differ regarding short-term postoperative outcomes. Therefore, the aim of this study was to review the clinical outcomes of patients who underwent laparoscopic right hemicolectomy for carcinoma of the colon and to compare the results with those of patients who underwent an open surgery. Patients and methods The study included patients admitted to the Surgery Department of the Medical Research Institute, Alexandria University, Colon Cancer Registry, who underwent a right hemicolectomy. The registered data were analyzed regarding the early postoperative complications operation time, length of postoperative hospital stay, and incidence of complications. Results The results showed that the operative time was significantly higher in the LR (laparoscopic) group, whereas the amount of opioid used, blood loss, and hospital stay were significantly higher in the open right hemicolectomy (OR) group. In line, the postoperative complication rate was higher in the OR than in the LR group. Conclusions The minimally invasive laparoscopic access with intracorporeal anastomosis is feasible and a safe route in terms of the operative, postoperative complications, and oncological safety for patients presented with right cancer colon. | ||
| Keywords | ||
| intracorporeal; Laparoscopic; right open hemicolectomy | ||
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