The importance of laparoscopic surgery for early postoperative course in patients with colorectal carcinoma

• Published in: Srpski arhiv za celokupno lekarstvo Vol. 149; no. 11-12; pp. 672 - 677
• Main Authors: Stevanovic, Dejan, Lazic, Aleksandar, Mitrovic, Nebojsa, Jasarovic, Damir, Milina, Srdjan, Surla, Dimitrije, Ivkovic, Aleksandar, Lukic, Branko, Stojanovic, Dragos
• Format: Journal Article
• Language: English
• Published: Serbian Medical Society 01.01.2021
• Subjects: colorectal cancer; laparoscopic colorectal surgery; open colorectal surgery
• ISSN: 0370-8179; 2406-0895
• DOI: 10.2298/SARH210303085S

Introduction/Objective. The aim of our study was to compare early postoperative recovery in patients operated on using laparoscopically assisted and open method in colorectal carcinoma surgery. Methods. The study involved 60 patients, divided into two groups of 30 patients each, treated with open or laparoscopically assisted colorectal surgery. Three groups of factors were collected and analyzed for all the patients. The first group of factors were as follows: age, sex, the American Society of Anesthesiologists score, preoperative hemoglobin, localization. The second group of factors were the following: intraoperative complications, the duration of operations, blood and blood derivatives? compensation. The third group were as follows: complications, length of stay in intensive care, rate of peristaltic establishment, and the time needed for unobstructed oral intake, number of hospitalization days, analgesic use, and verticalization time. Results. The patients who underwent laparoscopically assisted surgery showed significant advantages in the early postoperative recovery compared with those who underwent open surgery, in terms of the number of postoperative days of hospitalization (p < 0.001), the duration of the operation (p < 0.001), the day of establishment of peristalsis (p = 0.009), and the day of establishment of unobstructed oral intake (p < 0.001), the time of verticalization of the patients (p = 0.001), the use of analgesics (p < 0.001). Conclusion. Laparoscopically assisted surgery has an advantage over open surgery colorectal cancer, as regards of early postoperative recovery of the patient.