EARLY EXPERIENCE IN LAPAROSCOPIC COLORECTAL RESECTION FOR COLORECTAL CARCINOMA: A RETROSPECTIVE STUDY | ||
| The Egyptian Journal of Surgery | ||
| Article 5, Volume 30, Issue 2, April 2011, Pages 69-77 PDF (542.47 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2011.367375 | ||
| Authors | ||
| Ahmed Nada1; Hatem Helmy1; George Nashed1; Mohamed Yehia1; Ahmed Shoukry* 2 | ||
| 1Department of Surgery, Cairo University | ||
| 2Department of Surgery El Salam Oncology Center, Ministry of Health, Egypt | ||
| Abstract | ||
| Aim: Assessment of the results of laparoscopic resection for colorectal carcinoma in terms of feasibility, early outcome, conversion rate, technical difficulties and complications. Methods: All laparoscopic colon and rectal resections performed between January 2007 and July 2010 were included. Review of the perioperative data was done regarding patient selection and indication for surgery, the operative technique as well as the perioperative complications. Results: 87 patients (53 males and 34 females), median age 53 years (range 24 to 79), underwent laparoscopic resection of the colon and rectum. The median Body Mass Index (BMI) was 23.5 (range 15.5 to 41.3). The indication for surgery was 42 rectal cancers and 34 colon cancers. The most common laparoscopic procedure performed was anterior resection (44.5 percent). The median duration of surgery was 130 minutes (range 65 to 330), with conversions to open surgery in only 3 patients (3.5 percent). Complications occurred in 16 patients (18.2 percent). The mean length of hospital stay was7.9 days (range 4 to 26). The median number of lymph nodes harvested was 12 (range 4 to 46). The least follow up time was six months and the overall recurrence was 7 percent. Conclusion: laparoscopic colorectal resection for colorectal carcinoma is a safe, feasible and beneficial procedure when used in experienced hands and with good patient selection. | ||
| Keywords | ||
| Colorectal tumours; surgical resection; Laparoscopic management | ||
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