The comparison of laparoscopic and conventional surgery for colorectal cancers: Evaluation of the initial experience

Abstract

Introduction: This study aimed to analyze the initial experience of our center in laparoscopic colorectal resections and compare it with conventional open surgery. Materials and Methods: In this retrospective case-controlled study, prospective data of colo: rectal cancer patients was analyzed retrospectively. Fifteen laparoscopic (3 right, 6 left, and 6 rectum) and fi fteen open (3 right, 6 left, and 6 rectum) colorectal resections were analyzed for patient demographics, pathological characteristics, and early postoperative complications. Results: Mean operating time was longer in the laparoscopic group (227 ± 83.9 vs. 174.6 ± 54.7 : min) (p= 0.077). On the other hand, mean estimated blood loss was lower in the laparoscopic group as compared with the open group (215.3 ± 97 vs. 223.3 ± 56 mL) (p= 0.500). In the laparoscopic group, retrieved total and metastatic lymph node numbers were higher than in the open group (18 ± 8.3 and 14.7 ± 3.3; 1.1 ± 2.1 and 0.8 ± 1.3, respectively) (p= 0.243 and 0.692). Overall early postoperative complication rate was 23.3%. Surgical site infection (SSI) was seen in 6 (20%) patients; four in the open and two in the laparoscopic group. In one patient, after laparoscopic total mesorectal excision (TME) for rectal cancer, anastomotic leakage was seen and managed successfully with conservative methods. Conclusion: Our early results in laparoscopic colorectal surgery was comparable to open approach. Laparoscopic surgery for colorectal cancer is a feasible option, even in the surgeon’s learning period.