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J. coloproctol. (Rio J., Impr.) ; 43(1): 12-17, Jan.-Mar. 2023. tab, graf, ilus
Article in English | LILACS | ID: biblio-1430693

ABSTRACT

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. (AU)


Subject(s)
Humans , Male , Female , Middle Aged , Treatment Outcome , Colonic Neoplasms/surgery , Postoperative Complications , Digestive System Surgical Procedures/methods , Blood Loss, Surgical , Laparoscopy
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