Page 58 - WJOLS

Ashok K Mathur et al

TABLE 2: Perioperative data

Own experience n =20 Dis colon rectum 2003;46: n =101 Lancet 2004; 363 n =203
Operative time 335 min
• LAPR 296 min (180-600) 217.9 ± (70.9) 190.9 min
— Initial 7 cases 368 min
— Last 7 cases 232.5 min
• LAR 356 min (330-540)
— First 4 cases 400 min
— Last 2 cases 300 min
Blood loss (ml) 250 (50-500) 200 (0-600) 169 (0-3000)
Intraoperative blood transfusion 7 4
Diverting Ileostomy (LAR) 2/6 39
Conversion 1 11
Anastomotic leakage 0 1 1
Length of tumor bearing bowel (cm) 18.93 23.6±7.3
• LAPR 22.3
• LAR 13.3
No. of resected lymph nodes 5 (0-21) 15 11
Histology
• Adeno CA - 17
— Duke’s stage A -
B 11
C 6
• Malignant melanoma 2
GIST 1

TABLE 3: Postoperative data
Patient in ICU 7/20 –
Length of stay in ICU 2 days 1-3 days
Length of hospital stay 11 days 6-20 days
Postoperative analgesics need 2 injections 0-4 inj.
Time first passing flatus POD 2 1-4 days
Time first passing motion POD 3 2-5 days
Time to resume normal diet POD 5 2-7 days
Time for ambulation POD 1 0-3 days
Incidence of postoperative nausea vomiting 4 patients -
Wound infection 3 -
Other complications
• Colostomy prolapsed 1
• Releparotomy 2
• Postoperative obstruction 2
• Urinary complaints 1
Recurrence
• Port site 0
• Local 2
• Distant 2
Mortality
• Operative 0
• Cancer related 3
Postoperative chemoradiation 10
Mean follow-up 20 (longest follow-up being 30 months)

Potential benefits in terms of improved cosmesis, reduced and even elderly patients with comorbidities may be benefited
postoperative pain, early return of bowel activity, earlier with reduced postoperative morbidity.
functional recovery and shortened hospital stay are proven With magnified view and improved visualization of deep
11
benefits of laparoscopic colorectal surgery. Comorbidity does pelvic structures under laparoscope, laparoscopic rectal cancer
not appear to be a major obstacle for laparoscopic technique excision should yield functional outcomes at least comparable
56