M A Gok, S J Ward, M M Sadat, U A Khan. Macclesfield District General Hospital
Intoduction Colorectal cancer is the 3rd most commonest maligancy in men & woemn in the UK. representing 13% of all new cancers in 2010. Right sided cancers (appendic, caecum, ascending & transverse colon) contribute to a 3rd of colorectal maligancies. The aim of the study is to assess right hemicoloectomies carried out at a district general hospital.
Materials & Methods This is a retospective study carried out since 2008 at Macclesfiedl District Genereal Hospital. Descriptive demography, co-morbidities,histopathology & surgical outcomes were evaluated for all right hemicolectomies (laparoscopic, open & emergency cases).
Discussion Laparoscopic Rt Hemi has advantage of minimal invasion, earlier recovery, lowere rates of wound complications, shorter hospital stay & comparable survival rates of Open Rt Hemi. The prolonged operative time is attributed to the use of laparoscopy. Em Rt Hemi had a poorer survival as patients were generally ill (ASA 3) with sepsis.
|Lap Rt Hemi (n=93)||Open Rt Hemi (n=118)||Em Rt Hemi (n =75)||Kruskal-Wallis test (p value)|
|Sex (M : F)||41 : 52||67 : 51||33 : 42||NS|
|Weight (kg)||67.6||80.4||68.6||< 0.05|
|Op time (min)||145.8||107.1||118.6||< 0.05|
|LN harvest (n)||16||16.5||14||NS|
|Synchronous tumours (n)||10||31||9||< 0.05|
|LOS (days)||7||9||11||< 0.05|
|small bowel length (mm)||92.2||92.7||124.1||< 0.05|
|large bowel length (mm)||218.5||231.8||309.5||NS|
|1st year survival||95.1||90.5||73.7||logrank p < 0.05|
|3rd year survival||82.2||76.5||49.9||logrank p < 0.05|
|5th year survival||69.4||71.7||45.4||logrank p < 0.05|