Complications of Laparoscopic Left Hemicolectomy in Left Colon Cancer | ||
| Aswan University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 20 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2025.431564.1265 | ||
| Authors | ||
| mohamed rabie1; Osama Elsayed Metwally* 2; Khaled Abdeen Talha3; mansor mohammed kabbash4; Abdelrahman Kamel1 | ||
| 1Department of General Surgery, Faculty of Medicine, Aswan university, Aswan, Egypt. | ||
| 2General Surgery Department, Faculty of Medicine, Aswan University, Aswan, Egypt. | ||
| 3Department Oncosurgery, Faculty of Medicine, Aswan university, Aswan, Egypt. | ||
| 4General 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. | ||
| Keywords | ||
| Laparoscopic left hemicolectomy; colon cancer; complications; morbidity; Aswan University Hospital | ||
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