A 35 years old gentleman, from Sirajnagar, Keraniganj, Dhaka came to Apollo Hospitals Dhaka with the diagnosis of carcinoma lower rectum & got admitted under assoc. Prof. Dr. Mohammad Farid Hossain who is a renowned G.I Surgical oncologist. Patient’s case was presented to the tumor board (where case is discussed thoroughly in presence of Oncologist, Pathologist, Radiologist & an Administrator & treatment plan is decided) & Surgery followed by adjuvant therapy was planned for him. Surgery was performed on 30th July with laparoscopy (key hole surgery – without cutting abdomen), it is called laparoscopic abdominoperineal excision of Rectum. Patient was given oral diet from post-surgery day-2 onward. He was discharged on 3rd August & did not have any complain during his stay in the hospital, specially infeetia. he did not require any blood transfusion.
Laparoscopic surgery is less traumatic, almost blood less (does not require any blood transfusion) with min. pain during post-operative period, Early mobilization & early feeding helped early discharge & return to normal work. Moreover, this kind of surgery does not cost more compare to conventional open surgery. It cost at least 5-10 times more in abroad. More over regular follow up is not easy, so why to go abroad?