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. 2024 Feb 4;16(2):e53588.
doi: 10.7759/cureus.53588. eCollection 2024 Feb.

Short-Term Outcomes of First 100 Laparoscopic Colorectal Surgeries at a Newly Developed Surgical Setup at Peshawar

Muhammad F Shah  1 , Irfan Ul Islam Nasir  1 , Riaz Ahmad  2 , Sajjad Ahmad  3 , Aalia Amjad  3 , Khush Bakht Zaineb  3 , Romana Rehman  3
Affiliations

Short-Term Outcomes of First 100 Laparoscopic Colorectal Surgeries at a Newly Developed Surgical Setup at Peshawar

Muhammad F Shah et al. Cureus. .

Abstract

Background: The incidence of colorectal cancer (CRC) has risen steadily, necessitating innovative strategies for diagnosis and treatment. Minimally invasive surgery, exemplified by laparoscopic techniques, has emerged as a transformative approach in colorectal surgical practices. Laparoscopy offers advantages such as improved aesthetic outcomes, reduced post-operative pain, early patient mobilization, and shorter hospital stays.

Objective: This study aims to present the short-term surgical outcomes of the first 100 elective laparoscopic CRC resections performed at a newly established tertiary care cancer center in Peshawar, Pakistan.

Materials and methods: Data were prospectively collected for CRC resections performed between April 2021 and February 2022. The study included patients above 18 years of age with biopsy-proven CRC. Surgical procedures were performed by two dedicated colorectal surgeons trained in minimally invasive surgery. Patient demographics, pre-operative factors, intraoperative parameters, and post-operative outcomes were systematically recorded and analyzed.

Results: Among the 100 cases included in the study, laparoscopic colorectal surgeries were successfully performed without any conversions to open surgery. The mean age of the study population was 52.5 years, with a male-to-female ratio of 2:1. The majority of cases were colon (48%) and anorectal cancers (52%). The mean lymph node yield was 18.29 (range 6-49). Only one patient required a re-look laparoscopy for a pelvic hematoma, and overall mortality was reported at 1%.

Conclusion: Laparoscopic colorectal surgery is a safe and effective treatment option for elective colorectal operations with minimal post-operative complications and favorable short-term outcomes.

Keywords: colorectal cancer; laparoscopy; minimally invasive surgery; short-term outcomes; surgical setup; tertiary care center.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Creation of ileocolic window with medial to lateral dissection
Figure 2
Figure 2. Proximal transverse colon tumor
Figure 3
Figure 3. Clipping and transection of Inferior mesenteric artery
Figure 4
Figure 4. Posterior total mesorectal dissection
See this image and copyright information in PMC

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References

    1. Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center. Shah MF, Naeem A, Haq IU, et al. Ann Coloproctol. 2022;38:223–229. - PMC - PubMed
    1. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. CA Cancer J Clin. 2018;68:394–424. - PubMed
    1. Die ersteCholecystektomiedurch das Laparoskop: English summary. Muhe E. https://www.scirp.org/reference/referencespapers Langenbecks Arch KlinChir. 1986;369:804.
    1. Screening methods for early detection of colorectal cancers and polyps: summary of evidence-based analyses. Medical Advisory Secretariat. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377498/ Ont Health Technol Assess Ser. 2009;9:1–65. - PMC - PubMed
    1. Laparoscopic vs open colorectal surgery: economic and clinical outcomes in the Brazilian healthcare. Ribeiro U Jr, Tayar DO, Ribeiro RA, Andrade P, Junqueira SM Jr. Medicine (Baltimore) 2020;99:0. - PMC - PubMed

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