Comparison of Laparoscopic versus Open Bowel Resection in Management of Colorectal Carcinoma Patients

Abstract

Objective: To compare the outcomes of laparoscopic and open bowel resection in management of colorectal carcinoma, so that a better technique can be adopted with less complication rate in less time duration.

Study Design: Randomized controlled trial

Place and Duration of Study: This study was conducted at the general surgery department of Nishtar Hospital Multan from June, 2021 to May, 2022.

Materials and Methods: A total of 138 patients elective of emergency colorectal cancer were enrolled in study and divided into two groups 69 patients in open surgical technique group and 69 in laparoscopic group. Main variables of study were hospital stay and surgical site infection (incision site infection). SPSS version 23 was used for data analysis.

Results: The Laparoscopic Group had lower postoperative incisional infection than the open bowel Group as 30.4% and 55.1%, respectively, (p=0.003). Further, the average duration of stay in hospital in Laparoscopic Group was shorter than the open bowel Group as 8.21±2.48 days and 12.48±3.05 days, respectively, (p<0.001).

Conclusion: In selected group of patients with early stage of colorectal cancer laparoscopic technique is safe alternative of open surgical technique in terms of postoperative hospital stay and incision wound infection.