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2022, Number 3-4

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Rev Mex Cir Endoscop 2022; 23 (3-4)

Laparoscopic oncologic colorectal surgery at a low-volume university center in Uruguay

Chinelli J, Moreira E, Ximenez V, Rodríguez G

Language: Spanish
References: 25
Page: 72-78
PDF size: 153.53 Kb.


ABSTRACT

Introduction: laparoscopic colorectal surgery for cancer has shown similar oncological outcomes to the open approach and has the advantages of minimally invasive surgery. To date, reports in Uruguay on this subject are scarce. Objective: to analize the results at a low-volume university center. Material and methods: retrospective study of patients who underwent elective surgery for uncomplicated colorectal adenocarcinoma between July 2016 and December 2021. Demographic, clinical and oncological data are examined. Results: 84 patients with a high prevalence of locally advanced tumors. Median node harvest 14 (IQR 8), 12.5 (IQR 15) and 12 (IQR 7) for right colectomy, left colectomy and rectal resections respectively. Conversion rate was 14%. Anastomotic leak rate was 16% for colectomy, 13% for anterior rectal resection and 25% for low anterior rectal resection. Procedure related mortality was 8% for colectomy and 14% for rectal. Conclusion: results are acceptable for a low-volume center, although morbidity and mortality rates still remain slightly higher than those in reference centers.


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