EARLY EXPERIENCE IN LAPAROSCOPIC COLORECTAL RESECTION FOR COLORECTAL CARCINOMA: A RETROSPECTIVE STUDY

Document Type : Original Article

Authors

1 Department of Surgery, Cairo University

2 Department 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. 

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