title: Laparoscopic colonic resection for rectosigmoid colonic tumours: a retrospective analysis and comparison with open resection.
abstract: Laparoscopic approach for treatment of colorectal malignancy is gaining acceptance gradually; however the benefits of laparoscopic surgery in colonic and rectal tumours is still open to debate. This study aims at a retrospective analysis of operative and short term outcome of patients with rectosigmoid tumours. A retrospective analysis of operative, postoperative and short-term outcome of 62 patients who underwent laparoscopic colorectal resection for cancer of rectosigmoid region were compared with a same number of parameters-matched patients who underwent open colorectal resection. Blood transfusion requirement was significantly more in the open group compared to the laparoscopy group (38.7% versus 6.4%, p = 0.001). ICU stay was less in the laparoscopy group (p = <0.05) and they were started on oral liquid diet earlier (p = 0.013). The number of the lymph nodes retrieved, positive distal margin and radial involvement were similar in both groups. The hospital stay was significantly shorter in laparoscopy group (8.4 versus 13.8 days, p < 0.05). Radical operation for rectosigmoid tumors is technically feasible with laparoscopic surgery. Laparoscopic approach is associated with less blood loss, transfusion and significantly less ICU stay. Laparoscopic group recovers early and needs less hospital stay.
authors.affiliation: PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kaloor, Kochi, Kerala, India 682017.
authors.forename: Kurumboor
authors.initials: K
authors.lastname: Prakash
authors.forename: Deepak
authors.initials: D
authors.lastname: Varma
authors.forename: Mahendra
authors.initials: M
authors.lastname: Rajan
authors.forename: Naduthottam Palanisamy
authors.initials: NP
authors.lastname: Kamlesh
authors.forename: Prakash
authors.initials: P
authors.lastname: Zacharias
authors.forename: Ramesh
authors.initials: R
authors.lastname: Ganesh Narayanan
authors.forename: Mathew
authors.initials: M
authors.lastname: Philip