Abstract
Introduction: The development of laparoscopic colorectal surgery began in 1991. Today, laparoscopic surgery presents standard approach in the surgical treatment of malignant colon and rectal diseases. Aim: Surgical and oncological outcomes and survival rates of laparoscopic colorectal surgery at the Oncology Institute of Vojvodina. Methods: Data were collected prospectively from 66 patients undergoing laparoscopic colorectal surgery between December 2009 and December 2019. Registered data included sex, age, surgical indication and type for the procedure, indication and reason for conversion to open surgery, operative time, performing temporary or permanent stoma, intraoperative bowel perforation, pathologic TNM grade, number of harvested lymph nodes, inclusion of positive resection margin, number of postoperative days at the hospital, postoperative complications, postoperative mortality, presence of distant metastases and survival rates. Results: Laparoscopic procedures were right hemicolectomy in 11/66 (16.7%), left hemicolectomy in 1/66 (1.5%), sigmoid colectomy in 19/66 (28.8%), high anterior rectal resection in 13/66 (19.7%), low anterior rectal resection in 12/66 (18.2%), abdominoperineal amputation of the rectum in 7/66 (10.6%), colectomy in 2/66 (3%) and proctocolectomy in 1/66 (1.5%) patient. The median follow-up was 37.5 months (range 6 to 128). The total number of surviving patients was 60 (90.9%). Conclusion: This study showed that laparoscopic colorectal surgery has good clinical and oncological outcomes.
Highlights
Intensive technical and technological advances during the twentieth century resulted in rapid development of new surgery devices, endoscopy and laparoscopy which created a new modern field of surgery
This study showed that laparoscopic colorectal surgery has good clinical and oncological outcomes
Following the publication of first studies, there was a period of nonacceptance of the laparoscopy in oncologic colorectal surgery due to the assumption of higher rates of disease relapse compared to conventional surgery
Summary
Intensive technical and technological advances during the twentieth century resulted in rapid development of new surgery devices, endoscopy and laparoscopy which created a new modern field of surgery. Following the publication of first studies, there was a period of nonacceptance of the laparoscopy in oncologic colorectal surgery due to the assumption of higher rates of disease relapse compared to conventional surgery. The assumptions of metastasis at the site of the placed ports, the long learning curve and the longer duration of surgery were the main arguments against laparoscopy in colorectal cancer surgery [6,7,8,9]. The initial assumptions and arguments against laparoscopy in oncological colorectal surgery have been proven to be inaccurate in many studies [10,11,12,13]. With the further development of technology and the introduction of robotic colorectal surgery, a new era of modern surgical treatment begins [14,15]
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