scholarly journals Laparoskopinė storosios žarnos chirurgija: pirmoji patirtis Lietuvoje

2006 ◽  
Vol 4 (4) ◽  
pp. 0-0
Author(s):  
Gintarė Valeikaitė ◽  
Juozas Stanaitis ◽  
Nerijus Kaselis ◽  
Eligijus Poškus ◽  
Kęstutis Strupas ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Operative Time ◽  
Laparoscopic Colorectal Surgery ◽  
University Hospital ◽  
Colorectal Disease ◽  
City Hospital ◽  
Benign Colorectal Disease ◽  
The Mean ◽  
Vilnius University ◽  
Accepted Practice

Gintarė Valeikaitė1, Juozas Stanaitis2, Nerijus Kaselis3, Eligijus Poškus4, Kęstutis Strupas4, Dainius Pavalkis11 Kauno medicinos universiteto klinikų Chirurgijos klinika;2 Vilniaus universiteto Bendrosios ir plastinės chirurgijos, ortopedijos ir traumatologijos klinika;3 Klaipėdos apskrities ligoninės Chirurgijos skyrius;4 Vilniaus universiteto ligoninės Santariškių klinikų Pilvo chirurgijos centras,Santariškių g. 2, LT-08661 VilniusEl paštas: [email protected] Įvadas Šio straipsnio tikslas – įvertinti pirmąją laparoskopinės storosios žarnos chirurgijos praktiką Lietuvoje ir supažindinti su pasauline patirtimi. Metodai Sudarytas klausimynas išsiųstas keturiems pagrindiniams Lietuvos centrams, kuriuose atliekamos storosios žarnos laparoskopinės operacijos. Išnagrinėti 56 atliktų operacijų duomenys. Trisdešimt šeši (64,3%) pacientai buvo operuoti nuo vėžio: penkiolika – nuo riestinės, vienuolika – tiesiosios, keturi – kylančiosios, trys – aklosios, du – skersinės ir vienas – nusileidžiančiosios žarnos vėžio. Nuo nepiktybinių storosios ir tiesiosios žarnos ligų operuota dvidešimt (35,7%) pacientų: aštuoni – nuo divertikuliozės, aštuoni – tiesiosios žarnos iškritimo, keturi – pailgėjusios riestinės žarnos. Vidutinis moterų amžius – 64,9 metų, vyrų – 59,7 metų. Rezultatai Buvo atlikta septyniolika aukštų priekinių tiesiosios žarnos rezekcijų, vidutinė operacijos trukmė (VOT) – 203,9 min., penkiolika dešinių hemikolektomijų, VOT – 212 min., devynios kairios hemikolektomijos, VOT – 221,4 min., šešios riestinės žarnos rezekcijos, VOT – 194 min., trys riestinės ir tiesiosios žarnos rezekcijos, VOT – 220 min, aštuonios rektopeksijos, VOT – 179,5 min., viena tiesiosios žarnos ekstirpacija, VOT – 255 min. Visos žarnų jungtys buvo padarytos intrakorporaliniu būdu, išskyrus dešinę hemikolektomiją, kai jungtis padaroma išorėje per minilaparotominį pjūvį dešinėje pilvo sienos pusėje. Konversijos priežastys dviem atvejais buvo kraujavimas iš pasaito ir dviem atvejais – peraugęs į gretimus organus navikas. Vidutiniškai prieš operaciją ligoniai gulėjo 3,2 dienos, po operacijos – 8,3 dienos. Išvada Laparoskopinis metodas toliau vertinamas atliekant perspektyvųjį nacio nalinį tyrimą. Reikšminiai žodžiai: laparoskopija, storoji žarna, chirurgija First experience in laparoscopic colorectal surgery in Lithuania Gintarė Valeikaitė1, Juozas Stanaitis2, Nerijus Kaselis3, Eligijus Poškus4, Kęstutis Strupas4, Dainius Pavalkis11 Kaunas University of Medicine, Clinic of Surgery;2 Vilnius University Clinic of General, Plastic Surgery, Orthopedic and Traumatology;3 Klaipėda City Hospital;4 Vilnius University Hospital Santariškių Klinikos, Centre of Abdominal Surgery,Santariškių 2, LT-08661 Vilnius, LithuaniaE-mail: [email protected] Objective To evaluate the first experience in laparoscopic colorectal surgery in Lithuania and to review the worldwild accepted practice. Methods A questionnaire was sent to four major centers performing laparoscopic colorectal surgery in Lithuania. Analysis of obtained data showed that 56 laparoscopic operations were performed. For colorectal cancer were operated 36 patients (64.3%): 11 for rectal, 15 for sigmoid, 4 for ascending colon, 3 for ceacal, 2 for transversal and 1 for descending colon cancer. For benign colorectal disease – 20 (35.7%): 8 for diverticular disease, 8 for rectal prolapse, 4 for constipation caused by sigmoid elongation. The mean age of males was 59.7 and of females – 64.9 years. Results There were performed 15 laparoscopic left hemicolectomies (the mean operative time (MOT) 212 min), 17 laparoscopic high rectal resections (MOT 203.9 min), 9 laparoscopic right hemicolectomies (MOT 221.4 min), 6 sigmoid resections (MOT 194 min), 3 sigmoid and rectal resections (MOT 220 min), 8 laparoscopic rectopexies (MOT 179.5 min) and one laparoscopic abdominoperineal resection, operative time 255 min. All the anastomoses were intracorporeal, except right hemicolectomies and sigmoid resections. The reasons for conversion were bleeding from mesenterium in 2 cases and advanced tumours in 2 cases. The mean preoperative stay was 3.2 and postoperative stay 8.3 days. Conclusions There could not be clear conclusions, and the laparoscopic method is being further evaluated by a prospective national trial. Key words: laparoscopic colorectal surgery

scholarly journals From Small Acorns – Developing a Laparoscopic Colorectal Surgical Service

2008 ◽  
Vol 90 (7) ◽  
pp. 606-611 ◽  
Author(s):  
JK Smith ◽  
AG Acheson ◽  
JAD Simpson ◽  
J Stewart ◽  
IJ Beckingham ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Blood Loss ◽  
Operative Time ◽  
Resection Margin ◽  
Laparoscopic Colorectal Surgery ◽  
Morbidity Rate ◽  
Lymph Node Retrieval ◽  
Clear Resection Margin ◽  
The Mean ◽  
Randomised Controlled

INTRODUCTION Randomised controlled trials have shown that laparoscopic colorectal surgery is equal in terms of safety to open surgery. Benefits have been seen for length of stay, blood loss, immune suppression and analgesia requirements. The aim of this study was to assess the safety and feasibility of introducing laparoscopic colorectal surgery to our unit. PATIENTS AND METHODS Prospectively collected cases of all patients undergoing laparoscopic colorectal surgery between July 2003 and July 2007 were reviewed. RESULTS A total of 143 patients (75 males and 68 females) with amean age of 65.8 years (range, 21–95 years) underwent surgery. Laparoscopic resection for colorectal malignancy was performed in 93 patients (65%). The conversion rate for all cases was 14.7%. Mean operative time was 203 min (range, 100–400 min), with amean blood loss of 180 ml. The mean number of lymph nodes in malignant cases was 13.8 with clear resection margin in all but one case. The mean postoperative stay was 5.6 days (median, 4 days; range, 2–35 days). UKCCR standard for lymph node retrieval was achieved in 62.6% of cases. There were four postoperative deaths. The overall 30-day morbidity rate was 21.7%. The service is consultant-led with 9.8% of cases performed by senior trainees and 37% of procedures performed by two consultants. CONCLUSIONS Laparoscopic colorectal surgery is technically feasible and safe in our hands. Although operative time is longer, this is counterbalanced by shorter hospital stay. The results from this series support the findings of others and continuing development of this service.

scholarly journals Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica

2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Zhu Yi ◽  
Jiang Hong-Gang ◽  
Chen Zhi-Heng ◽  
Lu Bo-Hao
Keyword(s):  
Colorectal Cancer ◽  
Postoperative Complications ◽  
Colorectal Surgery ◽  
Operative Time ◽  
Laparoscopic Colorectal Surgery ◽  
Schistosomiasis Japonica ◽  
Laparoscopic Treatment ◽  
Short Term ◽  
The Mean ◽  
Postoperative Feeding

Introduction. Schistosomiasis is associated with numerous complications such as thrombocytopenia, liver cirrhosis, portal hypertension, and colitis. To the best of our knowledge, the feasibility and outcomes of laparoscopic colorectal surgery in patients with schistosomiasis have not yet been studied.Methods. In this study, the data of 280 patients with colorectal carcinoma along with schistosomiasis japonica infection who underwent laparoscopic or open colorectal surgery were retrospectively analyzed. Preoperative data, operative data, pathological outcomes, postoperative complications, and recovery were compared between patients in the laparoscopic (LAC) and open (OC) groups.Results. There were no significant differences in the preoperative data between the groups. However, fewer postoperative complications, especially severe hypoproteinemia, early postoperative feeding, and shorter postoperative hospital stay, were observed in patients in the LAC group (P<0.001). The mean operative time was higher in the LAC group (180 min versus 158 min;P<0.001), while the mean blood loss was similar (95 mL versus 108 mL;P=0.196) between groups. The mean number of lymph nodes harvested was also similar in both groups (15 versus 16;P=0.133).Conclusion. Laparoscopic surgery for colorectal cancer is safe in patients with schistosomiasis japonica and has better short-term outcomes than open surgery.

scholarly journals Operative Time and Outcome of Enhanced Recovery After Surgery After Laparoscopic Colorectal Surgery

2014 ◽  
Vol 18 (2) ◽  
pp. 265-272 ◽  
Author(s):  
Oliver J. Harrison ◽  
Neil J. Smart ◽  
Paul White ◽  
Adela Brigic ◽  
Elinor R. Carlisle ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Operative Time ◽  
Enhanced Recovery ◽  
Laparoscopic Colorectal Surgery ◽  
Enhanced Recovery After Surgery

scholarly journals Assessment of operative times of multiple surgical specialties in a public university hospital

2017 ◽  
Vol 15 (2) ◽  
pp. 200-205 ◽  
Author(s):  
Altair da Silva Costa Jr
Keyword(s):  
Operating Room ◽  
Operative Time ◽  
Cross Sectional Study ◽  
Public University ◽  
University Hospital ◽  
Cross Sectional ◽  
Mean Values ◽  
Operating Room Planning ◽  
Duration Of Surgery ◽  
The Mean

ABSTRACT Objective To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays.

Operative time is a poor surrogate for the learning curve in laparoscopic colorectal surgery

2007 ◽  
Vol 21 (2) ◽  
pp. 238-243 ◽  
Author(s):  
W. Chen ◽  
E. Sailhamer ◽  
D. L. Berger ◽  
D. W. Rattner
Keyword(s):  
Colorectal Surgery ◽  
Learning Curve ◽  
Operative Time ◽  
Laparoscopic Colorectal Surgery

scholarly journals Role of biomarkers in predicting anastomotic leakage following colorectal surgeries

2020 ◽  
Vol 8 (7) ◽  
pp. 2562
Author(s):  
Mumtaz Din Wani ◽  
Ferkhand Mohi Ud Din ◽  
Aabid Rasool Bhat ◽  
Irshad Ahmad Kumar ◽  
Ashiq Hussain Raina ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Anastomotic Leakage ◽  
Anastomotic Leak ◽  
Sensitivity And Specificity ◽  
Peritoneal Fluid ◽  
Clinical Symptoms ◽  
Colorectal Disease ◽  
Total Leukocyte Count ◽  
Drain Fluid ◽  
The Mean

Background: Recovery after surgery for patients with colorectal disease has improved with the advent of minimal access surgery and standardized recovery protocols. Despite these advances, anastomotic leakage remains one of the most dreaded complications following colorectal surgery, with rates of 3-27 per cent depending on specific risk factors. The aim of the study was to assess sensitivity and specificity of systemic and peritoneal drain-fluid bio-markers in early prediction of anastomotic leak; and to co-relate rise in levels of biomarkers and severity of clinical symptoms in patients who have undergone colo-rectal surgeries.Methods: The present study was a prospective observational study conducted on 60 patients in the Postgraduate Department of Surgery, Government Medical College, Srinagar after obtaining due ethical clearance over a period of two years.Results: The mean age was 54.87±11.901 years with 44 patients (73.3%) were males. Among systemic makers: the mean CRP level was 2.7800±0.500 mg/L, the mean total leukocyte count was 10.783±0.940 thousands and the mean serum procalcitonin level was 0.365±0.1385 ng/ml. Among peritoneal fluid drain bio-makers, the mean IL-6 level was 3551.066±1311.965 pg/ml, the mean IL-10 level was 628.533±460.358 pg/ml and the mean TNF-a level was 16.391±6.736 pg/ml. The anastomotic leak after colo-rectal surgery was noted in 16 patients (26.7%). In our study significant co-relation was noted between the rise in levels of peritoneal drain fluid biomarkers and severity of clinical symptoms but no significant co-relation was noted between the rise in levels of systemic markers and severity of clinical symptoms in patients who have undergone colo-rectal surgeries.Conclusions: Systemic biomarkers are poor predictors of anastomotic leak after colorectal surgery. But sensitivity and specificity of peritoneal fluid drain biomarkers in predicting anastomotic leak was significantly high.

scholarly journals Trauminiai penetruojantys širdies sužalojimai: 25 metų duomenų analizė

2010 ◽  
Vol 8 (2) ◽  
pp. 0-0
Author(s):  
Žymantas Jagelavičius ◽  
Vytautas Jovaišas ◽  
Arūnas Žilinskas ◽  
Algis Kybartas ◽  
Gintaras Kiškis ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiac Injury ◽  
University Hospital ◽  
Cardiac Trauma ◽  
Chest Injuries ◽  
Injured Part ◽  
The Mean ◽  
Vilnius University ◽  
Surgery Department ◽  
Mean Time

Žymantas Jagelavičius, Vytautas Jovaišas, Arūnas Žilinskas, Algis Kybartas, Gintaras Kiškis, Vygantas Gruslys, Irena Liubertienė, Ričardas JanilionisVilniaus universiteto Krūtinės ligų, alergologijos ir radiologijos klinika, Krūtinės chirurgijos centras; Vilniaus universiteto ligoninės „Santariškių klinikų“ centro filialas, Krūtinės chirurgijos skyrius,Žygimantų g. 3, LT-01102 VilniusEl paštas: [email protected] Įvadas / tikslasŠirdies sužalojimai yra viena letališkiausių traumų, ją patiria jaunesnio amžiaus žmonės. Dauguma sužeistųjų į širdį miršta nepasiekę ligoninės. Pateikiame Vilniaus universiteto ligoninės Santariškių klinikų Centro filialo Krūtinės chirurgijos skyriaus patirtį gydant širdies traumą patyrusius asmenis. Ligoniai ir metodaiRetrospektyviai išanalizavome 170 ligonių, gydytų dėl įtariamo širdies sužalojimo ir operuotų per pirmas 24 valandas po traumos, 1983–2007 metų duomenis. Įvertinome veiksnius, turėjusius įtakos išgyvenamumui. RezultataiVidutinis ligonių amžius – 36 metai. Vyrų buvo 88,2 %. Dauguma atvežti Vilniaus miesto greitosios medicinos pagalbos – 126 (74,1 %). Vidutinė trukmė nuo traumos iki patekimo į priėmimo skyrių Vilniuje būdavo 104 min., o rajone ar siunčiant iš kitų šalies gydymo įstaigų – 310 min. Dauguma krūtinės sužalojimų buvo durtiniai pjautiniai – 161 (94,7 %), šautiniai – 9 (5,3 %). Operacijos metu dažniausiai būdavo nustatomas hemoperikardas ar tamponada – 130 (76,5 %) ligonių. Dažniausiai sužalojama širdies vieta buvo dešinysis skilvelis – 68 (40,0 %) ligoniams. Papildomų sužalojimų patyrė 92 (54,1 %) ligoniai. Iš 170 gydytų ligonių išgyveno 151, bendras išgyvenamumas siekė 88,8 %. Palyginti su mirusiais ligoniais, išgyvenusieji atvykdami turėjo aukštesnį sistolinį kraujospūdį (87,9 mmHg ir 56,3 mmHg, p=0,001), dažniau visus penkis gyvybės požymius (80,8 % ir 47,4 %, p=0,003), o tiems, kurie neišgyveno, dažniau pasitaikydavo širdies tamponada (52,6 % ir 29,8 %, p=0,045), sunkesnis (IV–VI laipsnio) širdies sužalojimas (89,5 % ir 29,8 %, p<0,001) ir širdies veiklos sustojimas per operaciją (84,2 % ir 7,9 %, p<0,001). IšvadosBlogesnę sužalotųjų į širdį prognozę lemia žemesnis kraujospūdis, išnykę gyvybės požymiai atvykus, operuojant nustatoma širdies tamponada, kiaurinis širdies sužalojimas ir širdies veiklos sustojimas. Greičiau suteikus tinkamą pagalbą didesnė dalis sužeistųjų turėtų šansą išgyventi. Reikšminiai žodžiai: širdies sužalojimai, širdies trauma, širdies žaizda, penetruojantys krūtinės sužalojimai Penetrating cardiac injuries: evaluation of a 25-year experience Žymantas Jagelavičius, Vytautas Jovaišas, Arūnas Žilinskas, Algis Kybartas, Gintaras Kiškis, Vygantas Gruslys, Irena Liubertienė, Ričardas JanilionisVilnius University Hospital „Santariškių Clinics“, Central Branch, Thoracic Surgery Department, Žygimantų str. 3,LT-01102 Vilnius, LithuaniaE-mail: [email protected] Background /objectiveCardiac injuries are one of the most lethal traumas, and they are usually sustained by young people. Most of the injured die before reaching hospital. We present our experience in treating penetrating cardiac injuries in Vilnius University Hospital “Santariskiu Clinics” Centre Affiliation. Patients and MethodsWe have retrospectively analyzed data on 170 patients who were treated and operated on for suspicion of cardiac injury within the first 24 hours after trauma in our department during a 25-year period. We evaluated the effect of various factors on survival. ResultsThe mean age was 36 years. 88.2% were male. The mean time from trauma till reception room in Vilnius was 104 min and beyond Vilnius 310 min. Most of the injuries were stab wounds (161, 94.7%). During operation the general finding was haemopericardium or tamponade – 130 (76.5%). Right ventricle was the most frequently injured part of the heart (68, 40.0%). 92 (54.1%) patients had associated injuries. 151 of 170 patients survived, the survival rate until discharge was 88.8%. Compared to nonsurvivors, survivors had a higher systolic blood pressure (87.9 mm Hg vs. 56.3 mm Hg, p = 0.001) and more often had all signs of life (80.8% vs. 47.4%, p = 0.003), but in nonsurvivors more frequent were tamponade (52.6% vs. 29.8%, p = 0.045), higher grade (IV–VI) of injury (89.5% vs. 29.8%, p < 0.001) and stopping of heart action (84.2% vs. 7.9%, p < 0.001). ConclusionsLower blood pressure, missing one or more signs of life on arrival determine the worse outcome as well as tamponade, higher grade cardiac injury and stopping of the heart action during the operation. The proper care given more rapidly to the victims injured to the heart could help to save more lives. Keywords: cardiac injuries, cardiac trauma, heart wound, penetrating chest injuries

scholarly journals The single-incision laparoscopic surgery technique has questionable advantages in colorectal surgery

2018 ◽  
Vol 3 (1) ◽  
pp. 77-84
Author(s):  
Bernd Schneider ◽  
Anne Catharina Brockhaus ◽  
Marcos Gelos ◽  
Claudia Rudroff
Keyword(s):  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Hospital Stay ◽  
Single Incision ◽  
Laparoscopic Colorectal Surgery ◽  
Postoperative Hospital Stay ◽  
Colorectal Disease ◽  
Single Incision Laparoscopic Surgery ◽  
Surgery Technique ◽  
Significant Difference

AbstractBackground:Laparoscopic procedures have increasingly been accepted as standard in surgical treatment of benign and malignant entities, resulting in a continuous evolution of operative techniques. Since one of the aims in laparoscopic colorectal surgery is to reduce access trauma, one possible way is to further reduce the surgical site by the single-incision laparoscopic surgery technique (SLS). One of the main criticisms concerning the use of SLS is its questionable benefit combined with its technical demands for the surgeon. These questions were addressed by comparing SLS versus conventional laparoscopic multitrocar surgery (LMS) in benign and malignant conditions with respect to technical operative parameters and early postoperative outcome of the patients.Methods:Between 2010 and 2013, we performed SLS for colorectal disease. Of the 111 patients who underwent colorectal resection, 47 patients were operated by SLS and 31 using the LMS technique. The collected data for our patients were compared according to operating time, postoperative morbidity and mortality, pain score numeric rating scale on day 1 and day 5 postoperatively and postoperative hospital stay. To complement the pain scores, the required pain medication for adequate pain relief on these days was given.Results:There was no significant difference in age, BMI or sex ratio between the two groups. The intraoperative and early postoperative course was comparable as well. Postoperative hospital stay was the only parameter with a significant difference, showing an advantage for SLS.Conclusion:SLS is a feasible surgical method and a technical option in laparoscopic colorectal surgery. However, we were not able to identify substantial advantages of SLS that would favor this technique.

scholarly journals Radiofrequency versus ultrasonic energy in laparoscopic colorectal surgery: a metaanalysis of operative time and blood loss

2012 ◽  
Vol 26 (10) ◽  
pp. 2917-2924 ◽  
Author(s):  
Nicola Di Lorenzo ◽  
Luana Franceschilli ◽  
Marco Ettore Allaix ◽  
Anastasios Asimakopoulos ◽  
Pierpaolo Sileri ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Blood Loss ◽  
Operative Time ◽  
Laparoscopic Colorectal Surgery ◽  
Ultrasonic Energy

scholarly journals LAPAROSCOPIC COLORECTAL SURGERY;

2018 ◽  
Vol 21 (04) ◽  
pp. 583-586
Author(s):  
Zulfiqar Hanif ◽  
Muhammad Attique ◽  
Haitham Qandeel ◽  
Abdul Latif Khan
Keyword(s):  
Colorectal Surgery ◽  
Hospital Stay ◽  
Laparoscopic Colorectal Surgery ◽  
Laparoscopic Group ◽  
Open Group ◽  
Port Site Recurrence ◽  
Long Term Outcome ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
The Mean

Objective: The aim of this study was to assess the outcome of laparoscopiccolorectal procedures performed in a district general hospital within 5 years period and tocompare it with patients who had an open procedure during the same period. Patients andMethods: Data were collected retrospectively from patient’s case notes retrieved from hospitalmedical records. One hundred consecutive cases of laparoscopic colonic resection includingboth benign and malignant diseases between 2005 and 2010 were analysed for perioperativeand long term outcome and were compared with consecutive one hundred cases of opencolectomies. Results: Overall conversion rate was 6% for laparoscopic group. The mean majorcomplication rates in laparoscopic group were 5% (3% in open group) and minor complicationsoccurred in 18% (28% in open group). There was no mortality in either group. The overallmorbidity rate was 23% in laparoscopic group as compared to 31% in open colectomy group. In64 cases, curative laparoscopic resections were performed for colorectal malignancy while 72patients had resections for cancer in open group. The mean lymph node harvest in laparoscopicgroup was 13.2 nodes as compared to 12.4 in open group; no port-site recurrence wasdocumented at a mean follow-up of 26 months. Average duration of surgery was 180 minutes ascompared to 140 minutes in open group. Mean postoperative hospital stay was reduced from 13days to 7 days. (Open Vs. Lap). There was no statistically significant difference in majorcomplication rates and mortality. Conclusions: Laparoscopic colorectal surgery is safe andfeasible in elective colorectal cases and reduces the hospital stay without any added morbidity.

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