Comparative analysis of open and laparoscopic colectomy for malignancy in a developing country

Table 1 Demographics for open colectomy and laparoscopic colectomy for colonic carcinoma n (%)

		OC	LC	P value
Gender	Male	36 (41.4)	9 (52.9)	0.429
	Female	51 (58.6)	8 (47.1)
Age [median, (5Q-75Q)], yr		66 (59-78)	62 (58-72)	0.363
Charlson score	0	7 (8.0)	1 (6.2)	0.501
	1	14 (16.1)	4 (25.0)
	2	22 (25.3)	4 (25.0)
	3	18 (20.7)	5 (31.2)
	4	17 (19.5)	1 (6.2)
	5	7 (8.0)	0 (0.0)
	6	1 (1.1)	1 (6.2)
	7	1 (1.1)	0 (0.0)

OC: Open colectomy; LC: Laparoscopic colectomy.

Table 2 Intra-operative outcomes for open colectomy and laparoscopic colectomy for colonic carcinoma n (%)

		OC	LC	P value
Procedure	RH	42 (48.3)	7 (41.2)	0.801
	Extended RH	9 (10.3)	1 (5.9)
	LH	11 (12.6)	2 (11.8)
	Extended LH	1 (1.1)	0 (0.0)
	Transversecolectomy	1 (1.1)	0 (0.0)
	Sigmoidcolectomy	21 (24.1)	6 (35.3)
	Totalcolectomy	2 (2.3)	1 (5.9)
Conversion		NA	1 (5.9)
Total OR time (min)[median (25Q-75Q)]		165 (128-195)	195 (143-259)	0.075
Intraop blood loss (mL)[median (25Q-75Q)]		300 (200-600)	275 (188-550)	0.512

OC: Open colectomy; LC: Laparoscopic colectomy; RH: Right hemicolectomy; LH: Left hemicolectomy; NA: Not available.

Table 3 Pathological outcomes for open colectomy and laparoscopic colectomy for colonic carcinoma n (%)

		OC	LC	P value
Grade ofdifferentiation	Well	9 (10.35)	4 (23.5)	0.166
	Moderate	74 (85.1)	10 (58.8)
	Poor	4 (4.6)	0 (0.0)
Proximal margin (cm)[median (25Q-75Q)]		10 (5-16)	7 (7-10)	0.353
Distal margin (cm)[median (25Q-75Q)]		8 (4-13)	8 (6-10)	0.570
CRM involved	Yes	9 (10.6)	0 (0.0)	0.348
	No	76 (89.4)	16 (100)
LN yield [median(25Q-75Q)]		14 (10-17)	14 (10-15)	0.619

OC: Open colectomy; LC: Laparoscopic colectomy; CRM: Circumferential resection margin; LN: Lymph node.

Table 4 Postoperative outcomes for open colectomy and laparoscopic colectomy for colonic carcinoma n (%)

		OC	LC	P value
30-d morbidity	No	46 (52.9)	8 (47.1)	0.774
	Yes	22 (25.3)	6 (35.3)
	Not recorded	19 (21.8)	3 (17.6)
30-d mortality	No	62 (71.3)	14 (82.4)	0.717
	Yes	6 (6.9)	0 (0.0)
	Not recorded	19 (21.8)	3 (17.6)
Parenteral narcotic doses[median (25Q-75Q)]		6 (4-9)	5 (4-7)	0.176
LOS (d) [median (25Q-75Q)]		6 (5-7)	5 (4-8)	0.083

OC: Open colectomy; LC: Laparoscopic colectomy.