Abstract:
Colorectal cancer is the malignance which initiate in the rectum or colon and considered as the
fourth most frequently identified tumor and the second foremost cause of cancer demises in
male and female combined throughout the world. Standardly, the risks of lifetime colon cancer
development are approximately 1/23 for male and female collectively but it varies broadly with
respect to certain risk factors. The objective of this study was to evaluate the consequent
outcomes in the patients with rectal cancer endured laparoscopic surgical excision at
Department of Surgery, Liaquat University of Medical and Health Sciences Jamshoro,
Hyderabad and to review their curative resection and recurrence rates, postoperative
morbidities and complete survival. 40 patients of 30-65 years ages with rectal cancer underwent
a diagnostic laparoscopy at the Department of Surgery and gynecology of Liaquat University
of Medical & Health Sciences, Jamshoro, Sindh, Pakistan. After completely removed the
tumor, the specimen pinned out on a flat surface and placed in fixative solution to allow
orientation of the specimen and an accurate assessment of the margins. As the specimen had
acceptable clear margins and limited invasions to the submucosa, no further surgical procedure
was proceeded. Patients in the laparoscopic operation lost less blood with an amount of only
200mL during 250 minutes average operation time. The bowel functioning returned in 2 days
averagely with 8 days average hospital stay. The comparative studies confirmed that
laparoscopic surgery for rectal cancer is more advantages than open surgery and a safe and
feasible approach in terms of the less post-operative complications and recovery time as well
as hospital stay duration.
Key Words: Rectal Cancer, laparoscopic surgery