Comparative Outcomes of Laparoscopic Versus Open Colorectal Resection: A Single-Center Study
Abstract
AbstractBackground and Objective: Colorectal resection is commonly performed for various colorectal diseases, and the choice between laparoscopic and open surgery may influence postoperative recovery and complications. To compare the outcomes of laparoscopic versus open colorectal resection.
Methodology: This retrospective comparative study was conducted in the Department of Surgery, Tertiary Care Hospital Peshawar, fromJuly 2024 to December 2024. A total of 100 patients were included, with 50(50.0%) patients undergoing laparoscopic colorectal resection and 50(50.0%) undergoing open colorectal resection. Demographic characteristics, operative findings, postoperative complications and recovery outcomes were analysed. Statistical analysis included Chi-square/Fisher exact tests, independent t-test or Mann–Whitney U test, and multivariable logistic regression. A p-value <0.050 was considered statistically significant.
Results: The mean age was 55.00±16.60 years in the laparoscopic group and 52.70±18.30 years in the open group (p=0.510). Blood loss was significantly lower with laparoscopic surgery (314.80±176.00 mL versus 495.20±227.70 mL, p<0.001). Hospital stay was shorter in the laparoscopic group (8.60±3.50 days versus 11.60±3.90 days, p<0.001). Overall postoperative complications occurred in 16(32.0%) laparoscopic patients and 27(54.0%) open surgery patients (p=0.043). Surgical site infection occurred in 5(10.0%) and 15(30.0%) patients, respectively (p=0.024). Multivariable analysis showed laparoscopic surgery was associated with lower postoperative complications (adjusted OR=0.43, 95% CI: 0.18–0.99, p=0.047).
Conclusion: Laparoscopic colorectal resection was associated with improved short-term outcomes, including reduced blood loss, fewer complications and shorter hospital stay. The findings support laparoscopic surgery as an effective option for selected patients undergoing colorectal resection.
Keywords: Colorectal Surgery; Laparoscopy; Colorectal Neoplasms; Postoperative Complications; Treatment Outcome
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