Document Type : Original Article
Authors
1
Department of General Surgery, Faculty of Medicine, Aswan university, Aswan, Egypt.
2
General Surgery Department, Faculty of Medicine, Aswan University, Aswan, Egypt.
3
Department Oncosurgery, Faculty of Medicine, Aswan university, Aswan, Egypt.
4
General Surgery department, Faculty of Medicine – Aswan University,Aswan, Egypt
Abstract
Purpose: To evaluate the complications and short-term outcomes of laparoscopic left hemicolectomy in patients with left colon cancer treated.
Patients and Methods: This prospective observational study included 50 patients aged 35-75 years. Preoperative assessment included clinical evaluation, CEA, colonoscopy with biopsy, contrast-enhanced CT abdomen/pelvis, and chest CT. Operative parameters, pathology, and postoperative complications were recorded.
Results: The mean age was 58.3 ± 9.6 years; 28 patients were male and 22 female. Hypertension (38%) and diabetes (32%) were the most common comorbidities. Conversion to open surgery occurred in 10%. Histopathology revealed adenocarcinoma in all cases, with 62% moderately differentiated. Median lymph node yield was 19; R0 resection was achieved in 96%. Postoperative complications occurred in 14 patients (28%), with anastomotic leak in 6%, ileus in 10%, wound infection in 6%, bleeding in 4%, pneumonia in 4%, and urinary retention in 6%. Major complications (Clavien-Dindo ≥ Il) occurred in 8%, reoperation in 6%, and 30-day mortality was 2%.
Conclusion: Laparoscopic left hemicolectomy for left colon cancer is feasible and safe in a specialized center, with acceptable complication rates and favorable oncological outcomes.
Careful patient selection and perioperative optimization remain essential to minimize morbidity.
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