الفهرس | Only 14 pages are availabe for public view |
Abstract Laparoscopy has emerged as the preferred operative approach for most intra-abdominal pathologic conditions. Nonetheless, even though the first laparoscopic colectomy was reported more than 20 years ago. Laparoscopic hemicolectomy for colonic cancer can be performed safely, with morbidity, mortality, and long-term results comparable to those of open surgery. Performing anastomosis after colectomy is one of the basic skills of a general surgeon however in low social economic countries as Egypt we can do anastomosis in laparoscopic right hemicolectomy by hand sewn anastomosis rather than stapler anastomosis. laparoscopic right hemicolectomyhave advantages. These include less blood loss, lower perioperative morbidity, lower incidence of wound infection and incision hernia, less postoperative pain, early recovery of bowel function, shorter hospital stay, earlier return to work, and comparable survival Despite these advantages, laparoscopic right hemicolectomy is technically challenging and warrants intensive structured training to minimize conversion to open surgery and associated complications. This study retrospectively reviewed the medical records of 15 patients who underwent total laparoscopic right hemicolectomy with use of either 3-step intracorporeal anastomosis and 15 patients used laparoscopic assisted right hemicolectomy with extracorporeal anastomosis performed at our department between march 2017 and march 2018. Patient demographics, preoperative and operative data, and outcomes were included in the analysis. Key variables of interest included age, sex, preoperative diagnosis, duration of surgery, duration of ileocolic anastomosis, intraoperative blood loss, total length of hospital stay, postoperative duration of intestinal function recovery, postoperative pain, and incidence of postoperative in-hospital complications (infection, obstruction, and bleeding). Pathological data, including tumor-nodemetastasis (TNM) stage and the number of nodes dissected, were also reviewed. All pathological data fell into the category of T1–3NxM0. |