Laparoscopic Colorectal Surgery: A Cohort Study in West Sumatera, Indonesia

Abstract

Background: Traditionally, operation on the colon and rectum required a large abdominal and /or pelvic incision, which often required a lengthy recovery. The introduction of laparoscopic is an example of surgical innovation with a rapid implementation in many areas of surgery. A large number of studies have shown that laparoscopic colorectal surgery is associated with the same benefits than open surgery, including lesser pain, earlier recovery of bowel transit and shorter hospital stay. The use laparoscopic surgery for colorectal cancer still raises a number of concerns, particularly with the technique’s complexity, learning curve and longer duration. Methods: Medical record patients undergoing colorectal surgery were attempted between January 2014 and December 2015. Results: There were 225 patients of which 117 we do laparoscopic and 108 with open technique. Use oral analgetic in laparoscopic group ± 1, 9 (days) and 2, 2 (days) in open group. For hospital stay, 5 days in laparoscopic group and 7 days in open groups. The rate of recurrence was 18 cases (16%) in the laparoscopic group and 28 cases (25%) in the open surgery group. At 2 years after surgery, mortality rate was 19 cases (16%) in laparoscopic group and 27 cases ( 25% ) in open surgery group. 10 cases ( 9%) was cancer-related in laparoscopic group and 21 cases ( 21%) in open group. Conclusion: Proper laparoscopic colorectal surgery is safe and leads to excellent results in terms of recovery and short term outcomes.