Feasibility and Benefits of Laparoscopic Colectomy Versus Open Surgery-A clinical Trial Study

Authors

  • Hossam A. Aboul Enein  Department of General Surgery, Beni Suef Faculty of Medicine Beni Suef University, Egypt
  • Mohamed S. Abdel Hameed  Department of General Surgery, Beni Suef Faculty of Medicine Beni Suef University, Egypt
  • Ayman R. Abdel Hassib  Department of General Surgery, Beni Suef Faculty of Medicine Beni Suef University, Egypt
  • Alaa M. Mohamed  Department of General Surgery, Beni Suef Faculty of Medicine Beni Suef University, Egypt
  • Sahar D. Ismail  Department of pathology, Beni Suef Faculty of Medicine, Beni Suef University, Egypt

Keywords:

Minimal Invasive Surgery, TNM, Vascular Sealing Device, Laparoscopic RT Hemicolectomy, Ligasure Device, DVT, MRC CLASICC

Abstract

Laparoscopic colectomy has been shown to have significant short- and long-term benefits compared to open approach. The incorporation of laparoscopy in colon surgery is challenging, due to the high costs of equipment and lack of expertise. The aim of this study was to evaluate the safety and feasibility of laparoscopic colorectal surgery for cancer that could be performed in developing countries under different circumstances.

Patients & Methods: This is our initial trials to compare open versus laparoscopic colectomy, twenty patients (12 males and 8 females) with colorectal cancer with mean age of 48years (35–70) have been enrolled for 10 laparoscopic & 10 open colo-rectal surgery in Beni Suef Faculty Of Medicine, Beni Suef University, Egypt, done by expert laparoscopic surgeons in our surgical department, we tend to reuse some disposable laparoscopic instruments.

Results: Regarding laparoscopic procedure, the mean operative time was 147 min (123–180 min). The mean estimated blood loss was141 ml (75–260 ml) . No major intra-operative complications have been encountered. The mean hospital stay was 7.6 day (5–16 days). Pathologic outcome revealed that the mean number of retrieved lymph nodes was 9 (range 6-18), morbidity in one case with perineal wound infection , peri-operative period passed without major events. While regarding open group the mean operative time was 113 min (90–129 min) The mean estimated blood loss was 350 ml, The mean hospital stay was 13 days (8–30 days) with one mortality case and 3 morbidity cases(leakage& abdominal wound infection), Pathologic outcome revealed that the mean number of retrieved lymph nodes was 16(range 8–28 lymph node) and all cases had free surgical margin.

Conclusion: Laparoscopic colorectal surgery for cancer is safe and feasible. Tissue integrity and safety margin are nearly equal between laparoscopic & open colorectal surgery. Major advantages of laparoscopic colectomy are: low rat of wound infection, early mobilization, early administration of chemotherapy.

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International Journal of Scientific Research in Science and Technology

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Published

2018-02-28

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Volume 4, Issue 2, January-February-2018

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Research Articles

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How to Cite

[1]
Hossam A. Aboul Enein, Mohamed S. Abdel Hameed, Ayman R. Abdel Hassib, Alaa M. Mohamed, Sahar D. Ismail, " Feasibility and Benefits of Laparoscopic Colectomy Versus Open Surgery-A clinical Trial Study, International Journal of Scientific Research in Science and Technology(IJSRST), Online ISSN : 2395-602X, Print ISSN : 2395-6011, Volume 4, Issue 2, pp.1255-1259, January-February-2018.