Laparoscopic Surgery for Rectal Cancer – An Early Experience From Pakistan

Shaikh Abdul Razaque

Liaquat University of Medical Health Sciences Jamshoro Pakistan

Objectives: to determine the feasibility and short term outcome of laparoscopic surgery for rectal cancer in a third world country like Pakistan where the laparoscopic colorectal surgery is still in infancy.

Methods : a prospective study conducted at surgical department of Liaquat University of Medical Health & sciences Jamshoro Pakistan from January 2009 to December 2011 of all the operable and fit cases of rectal cancer who consented for laparoscopic surgery.The exclusion criteria were locally advanced disease ,distant metastases and patients with comorbids.

Results: total no of cases were 31. The age was 47.48 + 2.6 (20 to 70 years) The cases were 21 males and 10 females. Out of which 21 cases underwent abdominoperineal resection (APR) and 10 case anterior resection (AR) The diverting ileostomy was done in 02 case of anterior resection.. The mean anastomosis time was 241.71+6.44 (200 to 300 minutes) . The conversion of laparoscopic to open approach was done in three case (02 APR AND 01 AR group ) due to obesity ,tumour infiltration and adherence.

The postoperative recovery was significant and patients were started oral fluids on second postoperative day. Injectable analgesia requirement was only 2-3 doses. The median length of hospital stay was 9.45+1.6 (3 to 14 days) . The complicatons were anastomosis leak in one case ,and anastomosis stricture in one case of AR. Colostomy complications were in 6 case out of 21 case of APR group . Urinary and sexual problems were found in three case of APR .There was no peroperative or 30 day postoperative mortality.

CONCLUSION: The laparoscopic resection of rectal cancer is safe ,feasible with significant early postoperative recovery, better cosmesis with minimal postoperative complications and zero mortality.

Session: Poster Presentation

Program Number: P054

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