The First Cases of Laparoscopic Colectomy for Cancer in Ziguinchor Peace Hospital

Résumé fourni par la source

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.

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