Open AccessThe importance of laparoscopic surgery for early postoperative course in patients with colorectal carcinoma
Author(s) -
Dejan Stevanović,
Aleksandar Lazić,
Nebojša Mitrović,
Damir Jašarović,
Srdjan Milina,
Dimitrije Surla,
Aleksandar Ivković,
Branko Lukić,
Dragoš Stojanović
Publication year - 2021
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh210303085s
Subject(s) - medicine , colorectal cancer , surgery , analgesic , laparoscopic surgery , american society of anesthesiologists , open surgery , laparoscopy , colorectal surgery , rectal carcinoma , anesthesia , cancer , abdominal surgery
Introduction/Objective. The aim of our study was to compare early postoperative recovery in patients operated on using laparoscopically assisted and open method in colorectal carcinoma surgery. Methods. The study involved 60 patients, divided into two groups of 30 patients each, treated with open or laparoscopically assisted colorectal surgery. Three groups of factors were collected and analyzed for all the patients. The first group of factors were as follows: age, sex, the American Society of Anesthesiologists score, preoperative hemoglobin, localization. The second group of factors were the following: intraoperative complications, the duration of operations, blood and blood derivatives? compensation. The third group were as follows: complications, length of stay in intensive care, rate of peristaltic establishment, and the time needed for unobstructed oral intake, number of hospitalization days, analgesic use, and verticalization time. Results. The patients who underwent laparoscopically assisted surgery showed significant advantages in the early postoperative recovery compared with those who underwent open surgery, in terms of the number of postoperative days of hospitalization (p < 0.001), the duration of the operation (p < 0.001), the day of establishment of peristalsis (p = 0.009), and the day of establishment of unobstructed oral intake (p < 0.001), the time of verticalization of the patients (p = 0.001), the use of analgesics (p < 0.001). Conclusion. Laparoscopically assisted surgery has an advantage over open surgery colorectal cancer, as regards of early postoperative recovery of the patient.