Razavi Journal of Medicine

Razavi Journal of Medicine

A Comparative Analysis of Short-term Clinical Outcomes Between Laparoscopic and Open Surgical Approaches in the Sigmoid Colon Cancer

Document Type : Original Article

Authors
Sahar Nemani Neman 1
Tooraj Zandbaf 2
Hanie Gholami 3
Mohammad Javad Ghamari 2
1 Innovative Medical Research Center, MMS.C., Islamic Azad University, Mashhad, Iran
2 Department of General Surgery, MMS.C., Islamic Azad University, Mashhad, Iran
3 Students Research Committee, MMS.C., Islamic Azad University, Mashhad, Iran
10.30483/rjm.2026.254655.1428
Abstract
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.
Keywords
Colorectal Cancer
Sigmoid Cancer
Laparoscopic Surgery
Open Surgery

Acknowledgements: The authors would like to express their gratitude to all participants in this study. We also appreciate the support from Islamic Azad University, Mashhad Medical Sciences Unit, for facilitating this research.

 

Availability of data and materials: The data that support the findings of this study are available from the corresponding author upon reasonable request.

 

Conflicts of interests: All authors declared that they have no competing interests.

 

Consent for publication: Not applicable.

 

Ethics approval and consent to participate: The present study has an ethics code with an ID number (IR.IAU.MSHD.REC.1401.123). This study was conducted following the principles of the Declaration of Helsinki. Written informed consent was obtained from all participants included in the study.

 

Financial disclosure: No financial support was received for this study.

 

Author contributions: Conceptualization: MJGH- Methodology and Formal analysis: SNN - Investigation, Data curation: MJGH and SNN - Writing- Original draft: HGH and TZ - Writing - review & editing: MJGH, HGH, and TZ.

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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Razavi Journal of Medicine
Volume 14, Issue 2
Spring 2026
Pages 40-45