Abstract:

Objective: The need for comparison of oncological results with the use of minimal invasive surgeon in rectum cancer has appeared. We aimed at evaluating our approach to the treatment of rectum cancer, comparing the laparoscopic and open surgical results. Method and method: Patients who were operated due to rectum cancer were evaluated in our clinic between January 2006 and January 2016. The results were compared between the two groups as an open and laparoscopic surgery. Clinical characteristics after surgery, preoperative and postoperative results; pathological examination results and non-sick survival periods were compared. A total of 121 patients were included in the study. 50 patients were open, 71 patients were laparoscopic surgery. Median tracking time in the open surgery group is 56. 75 months; the patient’s median tracking period in the laparoscopic surgery group was 55.2 months. In the pathological study, a similar number of lymph nodes was detected in both groups (p>0.05). The duration of hospitalization in the laparoscopic surgery group was statistically significantly low (p<0.05) compared to the open surgery group. The tracking time without disease was 74% in the open surgical group, 82.5% in the laparoscopic surgical group, and there was no statistically significant difference (p>0.05). The result: Our study found that there was no significant difference between laparoscopic and open surgery for rectum carcinoma in terms of complication and recurrence. The duration of hospitalization of patients in the laparoscopic surgery group was statistically significantly lower than the open surgery group. Laparoscopic or open surgical options can be preferred in the treatment of rectal cancer according to the patient's clinical suitability, the experience of the surgeon and the central resources.

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