Muhammad Taqi Pirzada, Irfan Ul Islam Nasir, Muhammad Fahd Shah, Awais Amjad Malik, Abdul Wahid Anwer, Shahid Khattak, Aamir Ali Syed. Shaukat Khanum Memorial Cancer Hospital and Research Center
INTRODUCTION: We conducted this study to evaluate the early surgical outcomes of open and laparoscopic right hemicolectomy in our patients where most of the laparoscopic surgeries are performed in last 5 years.
METHODS AND PROCEDURES: We retrospectively analyzed the medical record files of all the patients who presented to our hospital with the diagnosis of right sided colon carcinoma from Jan 2006 to Dec 2015 and underwent laparoscopic / open right hemicolectomy. Demographics, operative findings and histopathological reports were all recorded on a preformed data sheet and compared. All the analysis was performed on SPSS 20.
RESULTS: Total of 133 patients were operated during the study period, out of which 48 were operated laparoscopically and 85 open. Median age was 50 for lap and 51 for open. Blood loss was less in lap group (50mls) as compare to 100mls for open group but operative time was more in lap group (average 240 minutes Vs 170 minutes for open). Specimen length was comparable in both the groups (median 30.5cm for lap vs 32 for open group), similarly proximal, distal and mesenteric margins including the number of retrieved lymph nodes (median 18.5 for lap vs 18 for open group) were all comparable between the two groups. In lap group 2 (4.1%) patients developed pelvic collection in comparison to open group in whom 7 patients (8.2%) developed complication including pelvic collection in 5 patients.
CONCLUSION: We concluded that there is no difference in early surgical outcomes of laparoscopic versus open right hemicolectomy.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80133
Program Number: P226
Presentation Session: Poster (Non CME)
Presentation Type: Poster
