LAPAROSCOPIC MANAGEMENT OF RECTAL TUMORS; A TERTIARY CENTRE EXPERIENCE
Dr. Iqbal Saleem Mir, *Dr. Suhail Nazir, Dr. Hilal Wani, Dr. Tajamul Rashid, Dr. Raashid, Dr. Farooq Ahmad Reshi and Dr. Mudasir Haji
ABSTRACT
Aims: The laparoscopic surgery for rectal cancer is much more challenging than laparoscopic colonic surgeries due to limited space in pelvis. However its feasibility and safety has been established in many randomised and non-randomised studies. The aim of our study was to evaluate the short term outcomes of laparoscopic approach for rectal cancer surgeries in developing countries. Methods: 30 patients were included in our prospective observational study out of which 14 underwent laparoscopic and 16 underwent open surgeries for rectal cancer. Short term outcomes in both groups were recorded and analysed. Conversions were excluded from the study. Findings: The intra operative blood loss (146.7 + 25.3 ml in laparoscopic group (LAP) and 353.8 + 32.2 ml in open surgical (OS); p-value < 0.001) , requirement of analgesia (4.1 + 2.3 doses in LAP and 8.4 + 3.1 doses in OS group: p-value < 0.0002) , time of resumption of intestinal function (i.e. appreciation of flatus after 46.8 + 6.2 hours in LAP group and 82.9 + 8.1 hours in OS group; p-value
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