The importance of laparoscopic surgery for early postoperative course in patients with colorectal carcinoma

Abstract

Introduction/Objective The aim of our study was to compare early postoperative recovery in patients operated on using laparoscopically assisted and open method in colorectal carcinoma surgery. Methods The study involved 60 patients, divided into two groups of 30 patients each, treated with open or laparoscopically assisted colorectal surgery. Three groups of factors were collected and analyzed for all the patients. The first group of factors were as follows: age, sex, the American Society of Anesthesi-ologists score, preoperative hemoglobin, localization. The second group of factors were the following: intraoperative complications, the duration of operations, blood and blood derivatives’ compensation. The third group were as follows: complications, length of stay in intensive care, rate of peristaltic estab-lishment, and the time needed for unobstructed oral intake, number of hospitalization days, analgesic use, and verticalization time. Results The patients who underwent laparoscopically assisted surgery showed significant advantages in the early postoperative recovery compared with those who underwent open surgery, in terms of the number of postoperative days of hospitalization (p < 0.001), the duration of the operation (p < 0.001), the day of establishment of peristalsis (p = 0.009), and the day of establishment of unobstructed oral intake (p < 0.001), the time of verticalization of the patients (p = 0.001), the use of analgesics (p < 0.001). Conclusion Laparoscopically assisted surgery has an advantage over open surgery colorectal cancer, as regards of early postoperative recovery of the patient. © 2021, Serbia Medical Society. All rights reserved.