Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia

INTRODUCTION Colorectal carcinoma is one of the common malignant neoplasms in this country (Rashid et al. 2009). Minimally invasive surgery in colorectal cancer patients has improved quality of life, however the impact of this development has not been studied in HUSM population. OBJECTIVES To s...

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Main Author:	Anuar, Nik Mohd Nurhafizi Nik
Format:	Thesis
Language:	English
Published:	2016
Subjects:	RC799-869 Diseases of the digestive system Gastroenterology
Online Access:	http://eprints.usm.my/42702/1/Dr._Nik_Mohd_Nurhafizi_Nik_Anuar-24_pages.pdf
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id	my-usm-ep.42702
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spelling	my-usm-ep.427022019-04-12T05:25:28Z Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia 2016 Anuar, Nik Mohd Nurhafizi Nik RC799-869 Diseases of the digestive system. Gastroenterology INTRODUCTION Colorectal carcinoma is one of the common malignant neoplasms in this country (Rashid et al. 2009). Minimally invasive surgery in colorectal cancer patients has improved quality of life, however the impact of this development has not been studied in HUSM population. OBJECTIVES To study the epidemiology of colorectal carcinoma in patient admitted to HUSM from January 2007 till December 2013. The primary objective was to evaluate outcomes of laparoscopic assisted colectomy and open colectomy in colorectal cancer in HUSM METHODOLOGY This is a study of retrospective record review of 124 patients diagnosed from 1st January 2007 to 31st December 20013. All patients diagnosed with colorectal malignancy requiring surgery were included in this study. Type of surgery, duration of surgery, duration of hospital stays post operative were surgical free margin were compared between laparoscopic assisted colectomy (LAC) group and open colectomy (OC) group. All these data’s were traced from operative notes, patient notes and histopathological reports. RESULTS 124 patients were studied for 7 years period ranging from January 2007 till December 2013. The ratio of patients underwent OC compared to LAC was 2: 1. There was almost equal sex distribution in each group. Majority of patients are Malay. The average age at presentation was 59 in OC and 58 in LAC group. There is no statistically significant difference in duration of operation between LAC and OC method of surgery. The length of hospital stay post operative in LAC group is significantly shorter compared to OC (p< 0.05). The post operative complication and surgical free margin and survival rate have no significant association between methods of surgery. CONCLUSION Laparoscopic assisted colectomy for colorectal cancer is an acceptable alternative to open colectomy and proved to be more effective in term of short terms outcomes. 2016 Thesis http://eprints.usm.my/42702/ http://eprints.usm.my/42702/1/Dr._Nik_Mohd_Nurhafizi_Nik_Anuar-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC799-869 Diseases of the digestive system Gastroenterology
spellingShingle	RC799-869 Diseases of the digestive system Gastroenterology Anuar, Nik Mohd Nurhafizi Nik Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia
description	INTRODUCTION Colorectal carcinoma is one of the common malignant neoplasms in this country (Rashid et al. 2009). Minimally invasive surgery in colorectal cancer patients has improved quality of life, however the impact of this development has not been studied in HUSM population. OBJECTIVES To study the epidemiology of colorectal carcinoma in patient admitted to HUSM from January 2007 till December 2013. The primary objective was to evaluate outcomes of laparoscopic assisted colectomy and open colectomy in colorectal cancer in HUSM METHODOLOGY This is a study of retrospective record review of 124 patients diagnosed from 1st January 2007 to 31st December 20013. All patients diagnosed with colorectal malignancy requiring surgery were included in this study. Type of surgery, duration of surgery, duration of hospital stays post operative were surgical free margin were compared between laparoscopic assisted colectomy (LAC) group and open colectomy (OC) group. All these data’s were traced from operative notes, patient notes and histopathological reports. RESULTS 124 patients were studied for 7 years period ranging from January 2007 till December 2013. The ratio of patients underwent OC compared to LAC was 2: 1. There was almost equal sex distribution in each group. Majority of patients are Malay. The average age at presentation was 59 in OC and 58 in LAC group. There is no statistically significant difference in duration of operation between LAC and OC method of surgery. The length of hospital stay post operative in LAC group is significantly shorter compared to OC (p< 0.05). The post operative complication and surgical free margin and survival rate have no significant association between methods of surgery. CONCLUSION Laparoscopic assisted colectomy for colorectal cancer is an acceptable alternative to open colectomy and proved to be more effective in term of short terms outcomes.
format	Thesis
qualification_level	Master's degree
author	Anuar, Nik Mohd Nurhafizi Nik
author_facet	Anuar, Nik Mohd Nurhafizi Nik
author_sort	Anuar, Nik Mohd Nurhafizi Nik
title	Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia
title_short	Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia
title_full	Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia
title_fullStr	Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia
title_full_unstemmed	Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia
title_sort	review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at hospital universiti sains malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2016
url	http://eprints.usm.my/42702/1/Dr._Nik_Mohd_Nurhafizi_Nik_Anuar-24_pages.pdf
_version_	1747821092167221248

Review outcomes of laparoscopic assisted colectomy compared with open colectomy in colorectal surgery at Hospital Universiti Sains Malaysia

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