COMPARISON OF LAPAROSCOPIC VERSUS OPEN RIGHT HEMICOLECTOMY IN PATIENTS OF ASCENDING COLON TUMOR
Notice bibliographique
Résumé
Background: In addition to rectum, ascending colon and caecum can also develop cancer. Right hemicolectomy is the operation of choice for later two. Laparoscopic right hemicolectomy is reported to have advantages of minimal invasive surgery, but some contradictory results were found. So the purpose of this study is the quest of truth.
 Objective: To compare the outcome of Laparoscopic and Open Right Hemicolectomy in patients of ascending colon tumors.
 Methods: This randomized Controlled Trial was conducted at Surgical Unit II, LGH, Lahore for 12 months from 2020-2021. Then 90 patients (45 in each group) were enrolled based on inclusion criteria. In group A, laparoscopic and in group B, open method was performed. Duration of surgery, hospital stay, wound complications and anastomotic leakage were noted. Data was recorded on proforma and analyzed in SPSS Vr. 25.0. Both groups were compared for duration of surgery and hospital stay by using independent samples t-test and for wound complication and anastomotic leakage by using chi-square test. P-value<0.05 was taken as significant.
 Results: The mean age of patients was 52.31±13.30 yrs in laparoscopic and 51.18±10.74 years in open surgery. In laparoscopy group, male:female ratio was 1:1 and in open surgery group it was 1:2. In laparoscopy mean duration of surgery was 125.18±19.66 minutes while in open group it was 134.20±25.07 minutes. (p-value >0.05). In laparoscopy mean duration of hospital stay was 6.47±1.24 days and in open surgery it was 7.96±1.35 days (p-value <0.05). In laparoscopy group, wound complication occurred in 4 (8.9%) patients and in open surgery group, wound complication occurred in 7 (15.6%) patients (p-value >0.05). In laparoscopy group no anastomotic leak occurred i.e. 0 (0.0%) patients, but in open surgery group, anastomotic leak occurred in 3 (6.7%) patients (p-value >0.05). In laparoscopy group, pain was mild in 41 (91.1%) cases while moderate in 4 (8.9%) cases and no patients had severe or excruciating pain. In open surgery group, pain was mild in 32 (71.1%) cases while moderate in 10 (22.2%) cases and 3 (6.7%) patients had severe pain but no patient had excruciating pain. The difference was significant (p-value <0.05).
 Conclusion: Thus laparoscopic method has advantages in terms of reduced hospital stay, less postoperative pain, wound complications and anastomotic leakage after surgery as compared to open surgical method.
 Key words: Laparoscopic surgery, Open surgery, Right Hemicolectomy, ascending colon tumor, anastomotic leak, wound complication, stapling device.
 
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».