COLORECTAL CARCINOMA;

COMPARATIVE STUDY OF PATIENTS WHO HAD TREATED SURGERY FOR COLORECTAL CARCINOMA WITH OPEN AND LAPROSCOPIC TECHNIQUES: PREVALENCE OF ASSOCIATED POST-OPERATED COMPLICATIONS.

Abstract

Background: Colorectal carcinoma is one of the most frequently diagnosed malignant diseases in men and women respectively. The frequency of postoperative complications was more in the open colorectal surgery than the laproscopic technique. Objectives: To examine the prevalence of early post operative complications/problems in patients whom treated surgery for colorectal carcinoma with open and laproscopic methods. Study Design: Cross-sectional study. Place and Duration of Study: Ghulam Muhammad Mahar Medical College Hospital, Sukkur and Jinnah Postgraduate Medical Centre, Karachi from 1^st January 2016 to 31^st December 2017. Material and Methods: One hundred and twenty patients included both men and women whom had undergone colorectal carcinoma surgery with open and laproscopic techniques. Patients aged between 20 to 61 years. Collected and recorded information demographically, prevalence of early postoperative complications and types of surgical methods was acquired. Patients who had rectal or any other carcinoma were excluded from study. Results: Out of 120 patients, 64 (53.33%) men and 56 (46.67%) women, mean age of both gender calculated 38.95+11.5 respectively. Surgical wound infection observed in 18 (15%) and not found in 102 (75%) patients. 10 (8.33%) patient observed abdominal abscess and 110 (91.67%) had no abdominal abscess. Out of 18 wound infected patients 8 (6.7%) had treated laproscopic surgery and 10 (8.33%) had treated open CRC surgery. In abdominal abscess patients 3 (2.5%) and 7 (5.83%) had treated LCS (laproscopic surgery) and open CRC surgery respectively. The presence of wound infection significantly associated with type of surgical method by using chi-square method having p-value 0.028. The presence of abdominal abscess was significantly associated with surgical technique having p-value 0.026. Conclusion: The frequency of early post operative complication was more common in the open colorectal carcinoma surgery than in laproscopic surgery. The presence of wound infection and abdominal abscess was found significantly associated with surgical methods or techniques.