Dr. Srinivas C, Dr. Pavan kumar J, Dr. C Ramachandra


INTRODUCTION: Colorectal cancer is the third most common cancer and ranks second in terms of mortality. Rectal cancers are biologically
aggressive. Implementation of laparoscopy in the management of rectal cancers is challenging and oncological outcomes should be comparable
with open surgery before widespread application of laparoscopy. This study is performed to assess laparoscopic versus open surgery in the
management of rectal cancer.
MATERIALS AND METHODS: This is a retrospective analysis of 112 patients who under went open or laparoscopic surgery for rectal cancer.
Both the groups were analysed in terms of operative time and post-operative complications and oncological outcomes.
RESULTS: Of 112 patients with rectal cancer surgery, 53.6% (n=60) underwent open surgery and 46.4% (n=52) underwent laparoscopic surgery.
The median age of patients in our study is 52 years with range 21-80 years. 60.7% were males. Conversion rate in our study is 3.6%. The major
reason for conversion is bleeding. Majority belong T3, N1b, and stage IIIB. No statistically significant differences were observed between the two
groups in terms of blood loss, complications, recurrence, 5-year Disease free survival (DFS) and overall survival (OS). There was a significant
difference observed between the two groups in regard to operative time. Laparoscopic surgery is 40 min longer than open surgery for rectal cancer.
CONCULSION: Laparoscopic surgery has longer operative times than open surgery. However, laparoscopic and open have comparable equal
efficacy in relation to post-operative complications, oncological outcomes.

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