Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study

Introduction The second most common cause of cancer-related mortality is colorectal cancer, and laparoscopic-assisted colectomy (LAC) has gained popularity among surgeons as an alternative to the conventional approach, which is open colecrtomy (OC). The differences between LAC and OC in terms of sho...

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Main Authors: Yasser Baz, Yasser A. Orban, Mohammed M. Ezzat
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2023-03-01
Series:Journal of Coloproctology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764197
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author Yasser Baz
Yasser A. Orban
Mohammed M. Ezzat
author_facet Yasser Baz
Yasser A. Orban
Mohammed M. Ezzat
author_sort Yasser Baz
collection DOAJ
description Introduction The second most common cause of cancer-related mortality is colorectal cancer, and laparoscopic-assisted colectomy (LAC) has gained popularity among surgeons as an alternative to the conventional approach, which is open colecrtomy (OC). The differences between LAC and OC in terms of short-term outcomes have not been well documented, and the aim of the present work is to compare the short-term outcomes of both procedures. Materials and Methods The present prospective study comprised 164 participants submitted to LAC (n = 82) and OC (n = 82) at the Helwan and Zagazig University hospitals between January 2018 and January 2022. We collected and analyzed demographic data, surgical data, and the short-term outcomes. Results The LAC group had a significantly lower estimated amount of blood loss, shorter hospital stay, lower rates of incisional surgical site infection, and fewer cases of burst abdomen postoperatively, but with a considerably longer operative time (30.3 minutes) than the OC group. Conclusions Our findings show that LAC is favorable option to OC, with superior outcomes.
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spelling doaj.art-f504a46c5b054396a75c86ba773a259e2023-04-12T12:31:38ZengThieme Revinter Publicações Ltda.Journal of Coloproctology2237-93632317-64232023-03-01430101201710.1055/s-0043-1764197Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized StudyYasser Baz0Yasser A. Orban1Mohammed M. Ezzat2Surgery Department, Faculty of Medicine, Helwan University, Cairo, EgyptSurgery Department, Faculty of Medicine, Zagazig University, Zagazig, EgyptSurgery Department, Faculty of Medicine, Helwan University, Cairo, EgyptIntroduction The second most common cause of cancer-related mortality is colorectal cancer, and laparoscopic-assisted colectomy (LAC) has gained popularity among surgeons as an alternative to the conventional approach, which is open colecrtomy (OC). The differences between LAC and OC in terms of short-term outcomes have not been well documented, and the aim of the present work is to compare the short-term outcomes of both procedures. Materials and Methods The present prospective study comprised 164 participants submitted to LAC (n = 82) and OC (n = 82) at the Helwan and Zagazig University hospitals between January 2018 and January 2022. We collected and analyzed demographic data, surgical data, and the short-term outcomes. Results The LAC group had a significantly lower estimated amount of blood loss, shorter hospital stay, lower rates of incisional surgical site infection, and fewer cases of burst abdomen postoperatively, but with a considerably longer operative time (30.3 minutes) than the OC group. Conclusions Our findings show that LAC is favorable option to OC, with superior outcomes.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764197colon cancerlaparoscopic-assisted colectomyopen colectomy
spellingShingle Yasser Baz
Yasser A. Orban
Mohammed M. Ezzat
Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study
Journal of Coloproctology
colon cancer
laparoscopic-assisted colectomy
open colectomy
title Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study
title_full Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study
title_fullStr Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study
title_full_unstemmed Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study
title_short Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study
title_sort short term outcomes of laparoscopic assisted colectomy versus open colectomy in patients with colonic carcinoma a prospective randomized study
topic colon cancer
laparoscopic-assisted colectomy
open colectomy
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1764197
work_keys_str_mv AT yasserbaz shorttermoutcomesoflaparoscopicassistedcolectomyversusopencolectomyinpatientswithcoloniccarcinomaaprospectiverandomizedstudy
AT yasseraorban shorttermoutcomesoflaparoscopicassistedcolectomyversusopencolectomyinpatientswithcoloniccarcinomaaprospectiverandomizedstudy
AT mohammedmezzat shorttermoutcomesoflaparoscopicassistedcolectomyversusopencolectomyinpatientswithcoloniccarcinomaaprospectiverandomizedstudy