Volume : VIII, Issue : IX, September - 2019

LAPAROSCOPIC VERSUS OPEN SURGERY FOR NODE POSITIVE RECTAL CANCER: A RETROSPECTIVE ANALYSIS OF RECTAL CANCER PATIENTS IN A SINGLE INSTITUTION

Dr. Srinivas C, Dr. Pavan Kumar J, Dr. C Ramachandra

Abstract :

INTRODUCTION: Colorectal cancer is the third most common cancer and ranks second in terms of mortality. Rectal cancers are biologically aggressive. Implementation of laparoscopy in the management of rectal cancers is challenging and oncological outcomes should be comparable with open surgery before widespread application of laparoscopy. This study is performed to assess laparoscopic versus open surgery in the management of rectal cancer. MATERIALS AND METHODS: This is a retrospective analysis of 112 patients who under went open or laparoscopic surgery for rectal cancer. Both the groups were analysed in terms of operative time and post–operative complications and oncological outcomes. RESULTS: Of 112 patients with rectal cancer surgery, 53.6% (n=60) underwent open surgery and 46.4% (n=52) underwent laparoscopic surgery. The median age of patients in our study is 52 years with range 21–80 years. 60.7% were males. Conversion rate in our study is 3.6%. The major reason for conversion is bleeding. Majority belong T3, N1b, and stage IIIB. No statistically significant differences were observed between the two groups in terms of blood loss, complications, recurrence, 5–year Disease free survival (DFS) and overall survival (OS). There was a significant difference observed between the two groups in regard to operative time. Laparoscopic surgery is 40 min longer than open surgery for rectal cancer. CONCULSION: Laparoscopic surgery has longer operative times than open surgery. However, laparoscopic and open have comparable equal efficacy in relation to post–operative complications, oncological outcomes.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

LAPAROSCOPIC VERSUS OPEN SURGERY FOR NODE POSITIVE RECTAL CANCER: A RETROSPECTIVE ANALYSIS OF RECTAL CANCER PATIENTS IN A SINGLE INSTITUTION, Dr.Srinivas C, Dr. Pavan kumar J, Dr. C Ramachandra INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-9 | September-2019

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