Anuar, Nik Mohd Nurhafizi Nik
(2016)
Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
INTRODUCTION
Colorectal carcinoma is one of the common malignant neoplasms in this country (Rashid et
al. 2009). Minimally invasive surgery in colorectal cancer patients has improved quality of
life, however the impact of this development has not been studied in HUSM population.
OBJECTIVES
To study the epidemiology of colorectal carcinoma in patient admitted to HUSM from
January 2007 till December 2013. The primary objective was to evaluate outcomes of
laparoscopic assisted colectomy and open colectomy in colorectal cancer in HUSM
METHODOLOGY
This is a study of retrospective record review of 124 patients diagnosed from 1st January
2007 to 31st December 20013. All patients diagnosed with colorectal malignancy requiring
surgery were included in this study. Type of surgery, duration of surgery, duration of
hospital stays post operative were surgical free margin were compared between
laparoscopic assisted colectomy (LAC) group and open colectomy (OC) group. All these
data’s were traced from operative notes, patient notes and histopathological reports.
RESULTS
124 patients were studied for 7 years period ranging from January 2007 till December
2013. The ratio of patients underwent OC compared to LAC was 2: 1. There was almost
equal sex distribution in each group. Majority of patients are Malay. The average age at
presentation was 59 in OC and 58 in LAC group. There is no statistically significant
difference in duration of operation between LAC and OC method of surgery. The length of
hospital stay post operative in LAC group is significantly shorter compared to OC (p<
0.05). The post operative complication and surgical free margin and survival rate have no
significant association between methods of surgery.
CONCLUSION
Laparoscopic assisted colectomy for colorectal cancer is an acceptable alternative to open
colectomy and proved to be more effective in term of short terms outcomes.
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