Laparoscopic resection for colorectal cancer: perioperative results and long term outcomes of first 30 patients

INTRODUCTION: Laparoscopic resection has become an attractive and alternative technique for col­orectal cancer after the results of prospective studies were reported, regarding sufficient onco­logical safety. This present study was designed to evaluate the results of the patients who undergone laparoscopic colorectal resection for cancer.
METHODS: Thirty patients underwent laparoscopic resection for colorectal cancer between April 2001 and December 2005. The patients were operated on by the same surgical team. Operation time, length of hospital stay, postoperative complications, pathologic findings and long term outcomes were evaluated.
RESULTS: The study included 12 women and 18 men. The average age of the patients was 62 (43-78) years. The mean follow-up period was 24 (3-56) months. Seventeen patients were oper­ated on for colon tumor. remaining were operated on for rectum tumor. The average operat­ing time was 138 ( 100-210) minutes and the length of hospital stay was 8.4 (5-29) days. The conversion rate was 0.6% (two patients), minor complication rate was 16% (surgical site infec­tion, mechanic intestinal obstruction) and minor complication rate was 16% (ureter injury, bleeding, anastomotic leakage). One port site recurrences was observed on the postoperative 17th month. Mean resected regional lymph node number was 14,3 (6-30). UICC staging of tumors were 10% (stage I), 43% (stage II), 43% (stage Ill) and 4% (stage IV).
DISCUSSION AND CONCLUSION: We conclude that laparoscopic surgery will provide a better oncological outcomes comparable with conventional colorectal resection, based on the increase of experience.

Kolorektal Kanserde Laparoskopik Rezeksiyon: ilk 30 Hastanın Ameliyat Bulguları ve Uzun Dönem Sonuçları

GİRİŞ ve AMAÇ: Laparoscopic resection has become an attractive and alternative technique for col­orectal cancer after the results of prospective studies were reported, regarding sufficient onco­logical safety. This present study was designed to evaluate the results of the patients who undergone laparoscopic colorectal resection for cancer.
YÖNTEM ve GEREÇLER: Thirty patients underwent laparoscopic resection for colorectal cancer between April 2001 and December 2005. The patients were operated on by the same surgical team. Operation time, length of hospital stay, postoperative complications, pathologic findings and long term outcomes were evaluated.
BULGULAR: The study included 12 women and 18 men. The average age of the patients was 62 (43-78) years. The mean follow-up period was 24 (3-56) months. Seventeen patients were oper­ated on for colon tumor. remaining were operated on for rectum tumor. The average operat­ing time was 138 ( 100-210) minutes and the length of hospital stay was 8.4 (5-29) days. The conversion rate was 0.6% (two patients), minor complication rate was 16% (surgical site infec­tion, mechanic intestinal obstruction) and minor complication rate was 16% (ureter injury, bleeding, anastomotic leakage). One port site recurrences was observed on the postoperative 17th month. Mean resected regional lymph node number was 14,3 (6-30). UICC staging of tumors were 10% (stage I), 43% (stage II), 43% (stage Ill) and 4% (stage IV).
TARTIŞMA ve SONUÇ: We conclude that laparoscopic surgery will provide a better oncological outcomes comparable with conventional colorectal resection, based on the increase of experience.