Laparoscopic versus open right hemicolectomy for colon cancer: Long-term outcomes from a Tertiary Care Teaching Hospital

INTRODUCTION: The aim of this study was to compare the short- and long-term outcomes of laparoscopic surgery and open surgery in right colon cancer.
METHODS: Demographic, clinicopathological, postoperative complications, mortality and long-term oncological outcomes of 162 patients who underwent laparoscopic (n=61) or open (n=101) surgery for colon cancer between January 2014 and December 2019 were compared in two groups.
RESULTS: The operation time was significantly longer in the laparoscopic group (p<0.001). Length of hospital stay, tumor stage, T stage, N stage, tumor diameter and number of excised lymph nodes were significantly higher in the OS group. Postoperative morbidity and mortality rates were similar in both groups. The surgery was converted to open surgery in five patients (8.1%) in the LS group. There was no significant difference between the groups in terms of overall survival (p=0.086) and disease-free survival (p=0.089).
DISCUSSION AND CONCLUSION: Laparoscopic and open right hemicolectomy operations had similar results in terms of short-term complications, mortality and long-term oncological findings.