Laparoscopic colorectal surgery in Baghdad teaching hospital A review of 12 patients

Abstract

Background: colonic resections by laparoscopy are being performed with increasing frequency worldwide.
Objective: The aim of this study is to evaluate our experience in the laparoscopic management of colorectal disease and to compare our results with other institutes.
Patients and Methods: This is a prospective study conducted during the period from 1st of January 2017 till the 15th of November 2017, 12 patients underwent laparoscopic colectomy in in Baghdad Teaching Hospital and followed up for 30 days postoperatively.
Results: 12 patients were included in this study, 83.3% of them were male, majority of patients (41.7%) were between 60 – 69 years, most of the patients (33.3%) have a body mass index of 23 -25, 83.3% of operations took 240 – 360 minutes and malignant diseases was the most common indication for surgery with (58.3%), while Abdominoperineal Resection was the most common indication for laparoscopic intervention (25%). Half of the patients discharged from hospital in 96-120 hours postoperatively, furthermore in majority of cases (66.7%) bowel sounds return to normal in 48-72 hours postoperatively. Conversion to open procedure occurred in 16.7% of patients, while complications occurred in 16.7% of patients.
Conclusion: Although laparoscopic colorectal surgery is a not popular in our institute, our results are promising.
Keywords: Laparoscopic, colorectal, conversion to open.