TITLE:
The First Cases of Laparoscopic Colectomy for Cancer in Ziguinchor Peace Hospital
AUTHORS:
Omar Sow, Aissé Thioubou, Reymond Saidy, Aboubacar Traoré, Modou D. Ndiaye, Mouhamadou L. Gueye, Ibrahima Ka, Madieng Dieng
KEYWORDS:
Colectomy, Cancer, Laparoscopy, Ziguinchor
JOURNAL NAME:
Surgical Science,
Vol.14 No.8,
August
16,
2023
ABSTRACT: Laparoscopic colectomy is a standardized technique for the curative
treatment of colon cancer, based on the principles of carcinological surgery.
It is rarely performed in our region but common practice in developed
countries. We conducted a retrospective study of the first 4 cases of
laparoscopic colectomy for cancer. The patients were 3 men and 1 woman, with a mean age
of 54.2 years. Of the 4 cancers, 3 were localized to the sigmoid and one to the
cecum. The main symptom was rectal bleeding. Total colonoscopy with biopsy was
performed in 3 patients and the histological type was a lieberkühnian, infiltrative,
moderately differentiated adenocarcinoma. Thoraco-abdomino-pelvic computed
tomography (TAP CT) was performed in all the cases. Three patients were
presented to the multidisciplinary team (MDT) prior to surgery. The operations
were one right hemicolectomy and three left hemicolectomies. The mean operative time was 182.25 min [152 - 210].
Average blood loss was estimated at 200 cc. The average hospital stay was 4.71 days. Cancer staging was classified as
stage I in 1 case (p T1N0M0) and stage III in 3 cases (pT3N1Mx, pT3N2Mx).
Resection margins were healthy. The number of lymph nodes removed was 12, 14,
17 and 13 respectively. Conclusion: This is a safe and reproducible technique,
but requires a much higher cost than laparotomy.