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Cirugía paraguaya

On-line version ISSN 2307-0420

Abstract

FRANCO CHAVEZ, Luz Janina; ZAYAS, Walter Osmar; AYALA BARRETO, Natalia Esther  and  ZARACHO, Juan Carlos. Postoperative complications of videolaparoscopic colorectal surgery in patients with oncological pathologies: Experience at the Social Security Institute - Ingavi, from april 2022 to december 2024. Cir. parag. [online]. 2025, vol.49, n.3, pp.8-10. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2025.diciembre.8.

Introduction: Colon cancer is the most frequent malignancy of the digestive tract. Its primary treatment consists of surgical resection, with laparoscopic surgery currently recommended due to its association with shorter hospital stays and reduced healthcare costs. Objective: To describe the postoperative complications observed in laparoscopic colorectal surgeries performed on patients with oncological conditions at the Instituto de Previsión Social – INGAVI between April 2022 and December 2024. Materials and Methods: This was an observational, descriptive, retrospective, cross-sectional study. Patients over 18 years of age with a histopathological diagnosis of colon or rectal cancer who underwent elective surgery during the study period were included. Results: A total of 85 patients were included, 47 of whom were female, with a mean age of 65.6 years. Ten patients presented postoperative complications, with anastomotic dehiscence being the most frequent. Conclusion: Laparoscopic colorectal surgery is considered a safe technique. In this study, the overall complication rate was 11.7%, with anastomotic dehiscence being the most frequent complication, higher than reported worldwide. The occurrence of complications was associated with a significant increase in hospital stay, from 7.8 to 21.5 days.

Keywords : Colorectal Neoplasms; postoperative complications; Surgical Procedures.

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