• J Coll Physicians Surg Pak · Sep 2022

    Laparoscopic versus Open Surgery in Colorectal Cancer: Is Laparoscopy Safe Enough?

    • Mehmet Akif Ustuner, Abdulkadir Deniz, and Abdurrahman Simsek.
    • Department of Gastroenterological Surgery, University of Health Sciences, Bursa Highly Specialised Training and Research Hospital, Bursa, Turkey.
    • J Coll Physicians Surg Pak. 2022 Sep 1; 32 (9): 1170-1174.

    ObjectiveTo compare the early and long-term outcomes of laparoscopic and open surgery in colorectal cancer stages 1-3.Study DesignComparative study.Place And Duration Of StudyDepartment of Gastroenterological Surgery, Health Sciences University, Gulhane Training and Research Hospital, Ankara, Turkey, from January 1, 2017 to January 1, 2021.MethodologyA total of 142 patients, who underwent surgery for colorectal cancer with a follow-up period of at least 3 years, were included in the study. The groups of the patients; (Group A) treated with laparoscopic surgery, and (Group B) treated with open surgery, were compared in respect of general characteristics, short and long-term morbidity, mortality, and oncological outcomes.ResultsBody Mass Index (BMI) values were higher, and the duration of surgery was shorter in Group A patients compared to Group B (p<0.05). The re-operation rate (12.2%) was observed to be statistically and significantly high in Group B (p=0.040). In comparison of the oncological outcomes, a significantly greater number of metastatic lymph nodes were removed in Group B (p=0.004). Stage 2A (31.1%) was observed at a higher frequency in Group A, and Stage 3C was significantly higher in Group B (25.7%) (p=0.037). There was no statistically significant difference between the groups in terms of the number of lymph nodes removed, insufficient lymph nodes dissection (<12), surgical margin negativity, local recurrence, and distant metastasis.ConclusionFor the selected patient group with early-stage colorectal tumours, laparoscopic surgery has short-term oncological outcomes similar to those of open surgery and relatively lower morbidity and mortality rates.Key WordsLaparoscopic surgery, Colorectal cancer, Open surgery, oncological Outcomes.

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