Early Postoperative Outcome Following Laparoscopic Surgeries in Rectal Malignancies.

Mymensingh medical journal : MMJ Pub Date : 2024-07-01
T Hossain, A Sultana, F Mahmud, M M I Talukdar, M Islam, M R A Ovi
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Abstract

Rectal malignancies that require abdominoperineal resection (APR) and Anterior resection (AR) is very common. Laparoscopic APR or AR can be a better option. This study observed the feasibility of this newer technique for alternative to conventional open method. This prospective type of observational study was comprised of patients with diagnosis of rectal cancer, who admitted to BIRDEM General Hospital for Laparoscopic APR or AR from November 2015 to April 2016. Among 19 patients, age range was from 20-78 years, mean age was 49.84±17.04 years. Male: female ratio was 12:7 (63.2%:36.8%). Twelve (12) patients underwent Laparoscopic APR, 6 Laparoscopic AR, one conversion (conversion rate - 5.3%). Less analgesics were required, a mean of 5.61±1.57 dose/ample/mg opioid injections needed for 4.05 days. An early postoperative ambulation (2.16±0.76 days) was noted. Mean post-operative hospital stay was 11.53±1.98 days. Laparoscopic APR or AR is a safe, effective and technically feasible procedure. It can be a better operative procedure in terms of early postoperative outcome such as less analgesics requirement, early ambulation and shorter hospital stay.

直肠恶性肿瘤腹腔镜手术后的早期疗效
直肠恶性肿瘤需要进行腹腔镜切除术(APR)和前切除术(AR)的情况非常普遍。腹腔镜腹腔镜切除术(APR)或腹腔镜前切除术(AR)是一种更好的选择。本研究观察了这种新技术替代传统开腹方法的可行性。这项前瞻性观察研究的对象是 2015 年 11 月至 2016 年 4 月期间在 BIRDEM 综合医院接受腹腔镜 APR 或 AR 手术的直肠癌患者。19 名患者的年龄范围为 20-78 岁,平均年龄为(49.84±17.04)岁。男女比例为 12:7(63.2%:36.8%)。12名患者接受了腹腔镜APR手术,6名患者接受了腹腔镜AR手术,1名患者接受了转换手术(转换率为5.3%)。所需的镇痛剂较少,平均剂量(5.61±1.57)次/例/毫克,共需注射阿片类药物 4.05 天。术后早期下床活动(2.16±0.76 天)。术后平均住院时间为(11.53±1.98)天。腹腔镜 APR 或 AR 是一种安全、有效且技术上可行的手术。就术后早期疗效而言,它是一种更好的手术方式,如镇痛剂需求量更少、早期下床活动和住院时间更短。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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