Title: Comparison of Open Colorectal Surgeries versus Laparoscopic and Lap Assisted Colorectal Surgeries for Short Term Outcomes in Colorectal Malignancy

Authors: Dr Santhoshkumar R, Dr Renjin RP, Dr Mubashir D, Dr Toney Jose

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.62

Abstract

Introduction: Laparoscopy has increasing been used in treatment of colorectal cancers. Its benefits and adequacy as compared to open procedures continue to be investigated. The short term outcomes of laparoscopic and laparoscopy assisted colorectal surgeries are compared to open procedures.

Method: Patients undergoing colorectal surgeries were included in the study. The demographic and surgical parameters and outcomes were compared for laparoscopic and open approaches.

Results: The duration of surgery was longer for laparoscopic approach. While the duration of hospital stay, return of bowel function, requirement of blood transfusion, post operative ventilation requirement, wound infection, wound dehiscence, return to normal activities were favourable for laparoscopic procedures. The adequacy of resection and nodal clearance were comparable for both laparoscopic and open approaches

Conclusion: Laparoscopic approach is a feasible and safe procedure for colorectal surgeries when performed by a surgeon of adequate laparoscopic experience. The short term outcomes are in favour of laparoscopic approach.

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Corresponding Author

Dr Renjin RP

Assistant Professor, Govt Medical College, Kottayam