The Learning Curve of Laparoscopic Colorectal Surgery - A Single Center Initial Experience at a Tertiary Hospital

Author(s): Ashok Kumar1 , Anu Behari2 , V. K. Kapoor3 , Shomnath Reddy4 , Anand Prakash5

BACKGROUND Laparoscopic colorectal procedure is technically challenging and has a long learning curve to learn the procedure. Here we are reporting our initial experience of laparoscopic colorectal procedures in 51 cases. METHODS This is a retrospective study where we analysed 51 cases of laparoscopic colorectal surgeries from January 2014 to February 2020 in our tertiary care institute. Here we report the demography, indications, technique, complications, and outcomes. RESULTS In our study, the majority of cases had malignancy as an indication for surgery [39 (76.47%)]. The procedures consist of various laparoscopic colectomies [37 (72.50%)], 6 (11.76%) laparoscopic low anterior resections and 8 laparoscopic APR (15.68%). The mean operative time was 150 minutes (110-240 mins); mean operative blood loss was 80 mL (60-165 mL); 1 (4%) case had been converted to open procedure. The mean length of hospital stay was 5.88 days (3- 29 days). The total number of short term complications was 18 (33.96%). On maximum 60 months follow up, 3 (5.88%) cases developed long term complications. CONCLUSIONS Laparoscopic colorectal procedures are difficult to learn and have a long learning curve; however, a simple and well adopted laparoscopic approach could make this procedure simple and provide better outcomes.