A Comparative Analysis of Short-term Clinical Outcomes Between Laparoscopic and Open Surgical Approaches in the Sigmoid Colon Cancer
نویسندگان
1 Department of General Surgery, MMS.C., Islamic Azad University, Mashhad, Iran
2 Innovative Medical Research Center, MMS.C., Islamic Azad University, Mashhad, Iran
3 Department of General Surgery, MMS.C., Islamic Azad University, Mashhad, Iran
4 Students Research Committee, MMS.C., Islamic Azad University, Mashhad, Iran
doi
10.30483/rjm.2026.254655.1428چکیده
Background: Sigmoid cancer is prevalent and responsible for over 10% of cancer-related deaths. The primary treatment is surgical resection of the colon and affected lymph nodes, done via open or laparoscopic surgery. Objective: This study aimed to investigate short-term clinical outcomes between laparoscopic and open surgical approaches for sigmoid colon cancer. Methods: This cross-sectional study involved 90 patients with sigmoid cancer, comprising 44 patients in the open surgery group and 46 in the laparoscopic group. Demographic information, surgery duration, length of hospital stay, duration of NPO after surgery, postoperative infections, anastomotic leaks, and pathological results of excised lymph nodes were collected. IBM SPSS version 20 was utilized for the analysis. Results: Our study included 90 patients (37 women, 53 men) with an average age of 59.93±8.60 years. The open surgery group consisted of 44 patients, while the laparoscopic surgery group comprised 46 patients. The results indicated that laparoscopic surgery was more effective at resecting more lymph nodes, resulting in shorter hospital stays and shorter fasting (NPO) times than open surgery. (P-value<0.005). Conclusion: Laparoscopic surgery is a safe, reliable, and secure option for patients with sigmoid cancer, as this technique not only minimizes the length of hospitalization but also results in improved outcomes and expedited patient recovery.