Perioperative outcomes of the laparoscopic tretment for colorectal cancer at the clinic for Digestive surgery, Skopje in a 5-year interval
Date Issued
2022
Author(s)
DOI
10.20903/zpopov-2022
Abstract
Colorectal cancer (CRC) is the third leading cause of cancer related
death in the world, and its incidence is rising in developing nations. Taking
into account the increase in the incidence of this disease, the purpose of this
review was to evaluate perioperative outcomes (in the first 30 days after
surgery) for laparoscopic treatment of this malignancy, a treatment that is
steadily becoming standard of patient care in the world.
Our review showed that at the Clinic for Digestive Surgery, from
2015 to 2019, 115 patients with colorectal cancer were treated laparoscopi-
cally. The figures show a growing trend during this period. 10% of all
colorectal cancers in 2019 were completed laparoscopically. In most cases
(88.7%) tumor staging was pT2 and pT3. Perioperative outcomes showed
wound infection in 2 patients, pulmonary complications in 1, anastomotic
leakage in 1, bleeding in 1 patient, no readmission, and no mortality. The
rate of conversion to open access is 5.7%, the operating time was 198
minutes on average, the average number of hospital stays was 9 days, and
the average number of extirpated lymph nodes 13. There was no need for
blood transfusion. Perioperative results for laparoscopic treatment of colorectal cancer
at our institution show a low morbidity and mortality rate in these patients,
with a clearly rising number in laparoscopically operated patients each year.
Long term results are yet to be seen. Follow up with these patients will
provide results later.
death in the world, and its incidence is rising in developing nations. Taking
into account the increase in the incidence of this disease, the purpose of this
review was to evaluate perioperative outcomes (in the first 30 days after
surgery) for laparoscopic treatment of this malignancy, a treatment that is
steadily becoming standard of patient care in the world.
Our review showed that at the Clinic for Digestive Surgery, from
2015 to 2019, 115 patients with colorectal cancer were treated laparoscopi-
cally. The figures show a growing trend during this period. 10% of all
colorectal cancers in 2019 were completed laparoscopically. In most cases
(88.7%) tumor staging was pT2 and pT3. Perioperative outcomes showed
wound infection in 2 patients, pulmonary complications in 1, anastomotic
leakage in 1, bleeding in 1 patient, no readmission, and no mortality. The
rate of conversion to open access is 5.7%, the operating time was 198
minutes on average, the average number of hospital stays was 9 days, and
the average number of extirpated lymph nodes 13. There was no need for
blood transfusion. Perioperative results for laparoscopic treatment of colorectal cancer
at our institution show a low morbidity and mortality rate in these patients,
with a clearly rising number in laparoscopically operated patients each year.
Long term results are yet to be seen. Follow up with these patients will
provide results later.
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