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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Format: | Article |
Language: | English |
Published: |
Thieme Revinter Publicações Ltda.
2023-03-01
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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. |
first_indexed | 2024-04-09T18:19:27Z |
format | Article |
id | doaj.art-f504a46c5b054396a75c86ba773a259e |
institution | Directory Open Access Journal |
issn | 2237-9363 2317-6423 |
language | English |
last_indexed | 2024-04-09T18:19:27Z |
publishDate | 2023-03-01 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | Article |
series | Journal of Coloproctology |
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 |