Next Article in Journal
Treatment outcome of locally advanced stage IIIA/B lung cancer
Previous Article in Journal
Surgical treatment of female pelvic organ prolapse at the Clinic of Obstetrics and Gynecology, Hospital of Kaunas University of Medicine
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Laparoscopic surgery for malignancies of the colon, rectum, and anus in Lithuania in 2008

1
Institute of Oncology, Vilnius University
2
Hospital of Kaunas University of Medicine
3
Klaipėda District Hospital
4
Klaipėda City University Hospital
5
Center Branch, Vilnius University Hospital Santariškių Klinikos
6
Druskininkų Regional Hospital
7
Vilnius University Hospital Santariškių Klinikos
*
Author to whom correspondence should be addressed.
Medicina 2009, 45(6), 447; https://doi.org/10.3390/medicina45060058
Received: 10 November 2008 / Accepted: 3 June 2009 / Published: 8 June 2009
The objective of this study was to analyze data on laparoscopic surgery for malignant diseases of the colon, rectum, and anus in Lithuania during the period of January 1, 2005, to February 15, 2008.
Material and methods. During the above-mentioned period in Lithuania, 130 laparoscopic surgeries for malignancies of colon, rectum, and anus were performed in seven different hospitals. There were 73 males and 57 females with a mean age of 68 years (range, 35–85 years). Laparoscopic procedures were attempted in 140 cases. Out of them, 130 were completed laparoscopically; 10 operations were converted to open, and conversion rate was 7.1%. Twenty-seven (20.8%) patients had stage I, 45 (34.6%) stage II, 45 (34.6%) stage III, and 13 (10%) stage IV disease. Ninety-two (70.8%) patients underwent straight laparoscopic surgery and 38 (29.2%) – hand-assisted laparoscopic surgery. Time in surgery was from 50 to 365 min, with a mean of 183 min. During 130 operations, in 11 (8.5%) cases, blood vessels were ligated through specimen retrieval site. Out of 104 operations, where anastomosis was performed (23 abdominoperineal resections and 3 Hartmann’s procedures), in 68 (65.4%) cases it was done laparoscopically and in 36 (34.6%) cases using conventional extracorporal suturing.
Results. Hospital stay ranged from 7 to 59 days, with a mean of 12 days. One (0.8%) patient died. Postoperative complications occurred in 27 (20.8%) cases. Reoperation rate was 4.6% (6 cases). Complications were as follows: suture insufficiency (3 cases), eventration (3 cases), wound infection (7 cases), intraperitoneal abscess (1 case), abdominal wall phlegmon (1 case), intra-abdominal infiltrate (1 case), perineal hematoma (1 case), proctovaginal fistula (2 case), intraoperative bleeding from uterus (1 case), urinary retention (4 cases), cystitis (1 case), pneumonia (1 case), acute cardiovascular insufficiently (1 case). In histological specimens, 10 lymph nodes were found on the average (range, 2 to 27).
Conclusions. Laparoscopic surgery for malignant diseases of the colon, rectum, and anus is dominating among laparoscopic surgeries for colorectum. Complication rate is similar to other authors. To evaluate disease relapse and outcomes, observation time is not sufficient yet.
Keywords: colorectal cancer; laparoscopic surgery; complications colorectal cancer; laparoscopic surgery; complications
MDPI and ACS Style

Samalavičius, N.E.; Rudinskaitė, G.; Pavalkis, D.; Latkauskas, T.; Kaselis, N.; Šidlauskas, Ž.; Šniuolis, P.; Poškus, T.; Kvedaras, V.; Strupas, K.; Poškus, E. Laparoscopic surgery for malignancies of the colon, rectum, and anus in Lithuania in 2008. Medicina 2009, 45, 447.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Only visits after 24 November 2015 are recorded.
Back to TopTop