Comparison of Laparoscopic Versus Open Resection in Management of Colorectal Carcinoma

Abstract

Objective: is to compare the impact of laparoscopic and open colorectal surgery in terms of infection, hospital stay and blood loss. Study Design: Randomized controlled trial. Place and duration: Study was conducted at the general surgery department of Nishtar hospital, Multan from January 2020 to January 2021. Methodology: Three hundred and ten patients were enrolled in the study and divided into two groups. One group was treated with laparoscopic technique and the second group treated with open surgical technique. Main variables of study were infection rate, duration of hospital stay and mean blood loss. SPSS version 23 was used for data analysis. Mean and standard deviation for numerical data and frequency and percentages for categorical data were calculated. P value ≤0.05 was considered as significant. Results: In 16.8% patients of laparoscopic group, infection occurred and 20.6% patients in open group. But the difference was statistically insignificant, (p=0.382). The mean hospital stay in laparoscopic group was 11.21±2.53-day and14.78±3.01 days in open group. The difference was statistically significant. (p=0.000). Conclusion: Laparoscopic technique is associated with reduced rate of infection; hospital stay, and blood loss as compared to open surgery of colorectal carcinoma. Laparoscopic surgical method is preferred over open method.