Outcomes of Our Laparoscopic Surgery in Colorectal Cancer: Our First Experiences
Autor: | İbrahim Halil Özata, Beslen Goksoy, İbrahim Fethi Azamat, Ender Onur |
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Rok vydání: | 2020 |
Předmět: |
Laparoscopic surgery
lcsh:Internal medicine medicine.medical_specialty Colorectal cancer business.industry General surgery medicine.medical_treatment lcsh:R lcsh:Medicine colorectal cancer medicine.disease experience laparoscopic colorectal surgery medicine lcsh:Diseases of the digestive system. Gastroenterology lcsh:RC799-869 lcsh:RC31-1245 business |
Zdroj: | Turkish Journal of Colorectal Disease, Vol 30, Iss 4, Pp 268-274 (2020) |
ISSN: | 2536-4901 2536-4898 |
DOI: | 10.4274/tjcd.galenos.2020.2019-12-5 |
Popis: | Aim:The laparoscopic approach in colorectal surgery is widely applied in experienced centers. In this study, we aimed to present the short-term results of our first laparoscopic experience on the patients with primary diagnosis of colorectal cancer (CRC) in our newly opened hospital.Method:Between 10 August 2018-1 November 2019, patients who underwent elective laparoscopic surgery with the primary diagnosis of CRC in the Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Clinic of General Surgery were included in the study. Demographic characteristics, type of surgery, duration of surgery, pathology results, length of hospitalization, first bowel movements time, oral intake starting days, drainage catheter removal time, rate of conversion to open surgery, complications and early mortality were evaluated.Results:A total of 20 patients (11 male, 9 female) were included in the study. The median age was 60 (41-80) years. The most performed operation was the right hemicolectomy (50%). In 3 (15%) patients laparoscopic surgery was converted to open surgery. Three (15%) patients developed wound infection, hematoma was seen in 1 (5%) patient, and 1 patient (5%) developed ileus. The mean operative time was 172±31 min and the duration of hospitalization was 7 days (5-15). The total number of dissected lymph nodes was higher in female patients (p=0.02). There was a positive correlation between operation time and length of hospitalization (p=0.016, r=0.532), and tumor diameter and oral intake time (p=0.03, r=0.621). There was no anastomotic leakage or early mortality.Conclusion:Especially our rate of conversion to open surgery, complications, and oncologic outcomes were in line with the literature. |
Databáze: | OpenAIRE |
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