Abstract:

Objective Laparoscopic colorectal surgery has become a widely used method in many centers today. In our study, it was aimed to compare the postoperative clinical and oncological results in patients who underwent laparoscopic and open colorectal surgery and to compare them with the literature. Material and Method The data of patients who underwent colorectal surgery between January 2012 and December 2018 at the Dışkapı Yıldırım Beyazıt Training and Research Hospital General Surgery clinic were analyzed retrospectively. Results A total of 544 patients were included in our study, of which 438 (80.5%) underwent open resection, 73 (13.4%) laparoscopic, 33 (6.1%) underwent resection with conversion. In the series, the number of cases that were operated urgently was 158 (29.0%), and the number of elective cases was 386 (71.0%). A total of 156 (28.7%) postoperative complications were detected. When evaluated according to the groups; There were 20 (27.4%) postoperative complications in the laparoscopic surgery group, 126 (28.8%) in the open surgery group, and 10 (30.3%) in the conversion group. The mean number of lymph nodes removed in rectal cancers is 19.0±9.7 in the open procedure and 22.3±11.6 in the laparoscopic procedure (p: 0.198). A positive circumferential surgical margin was found in 1 (2.3%) and 8 (5.9%) patients with rectal cancer in the laparoscopic and open surgery groups, respectively (p: 0.456). The mean distal surgical margin was 45.1±39.8 mm in the open group and 41.1±37.7 mm in the laparoscopic group (p: 0.608). Conclusion Laparoscopic colorectal cancer surgery has comparable clinical and oncological outcomes to the open procedure. Given the many known advantages of minimally invasive surgery, laparoscopic surgery will likely become the standard treatment for colon cancer.

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