Aditya Ajit Manke
Assistant Professor, Department of General Surgery, Smt. Kashibai Navale Medical College and General Hospital
Abstract
Aim & Objective: This paper is a case-control study looking at the laparoscopic surgery vs open surgery for low rectal cancer treatment evaluating for postoperative recovery, complications, and survival.
Methods: A quantitative cross-sectional study was carried out involving 200 patients who underwent surgery for low rectal cancer. The patients were randomly selected into Laparoscopic surgery which comprised of 100 patients and the Open surgery which also comprised of 100 patients. Screened mainly the primary outcomes, including the post-surgery complications, the time spent in the hospital, and the rates of 5-year survival. The second set of measures comprised quality of life data and functional status.
Results: The mean postoperative hospital stay was significantly less in the laparoscopic than in the open surgery and the patients complained of lesser degrees of pain. However, the complication rates, anastomotic leakage, and the like are equivalent in the two groups. In the same manner, no statically significant difference was observed in favour of one of the groups with long-term survival rates and quality of life scores.
Conclusion: Laparoscopic surgery has shorter hospital stay, less pain and analgesic requirement, less wound infection and better cosmesis which are comparable to open surgery regarding long-term survival and complications for low rectal cancer.