- Long-term Outcomes of Laparoscopic Surgery for Colorectal Cancer
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Jeong-Eun Lee, Yong-Geul Joh, Sang-hwa Yoo, Geu-Young Jeong, Sung-Han Kim, Choon-Sik Chung, Dong-Gun Lee, Seon Hahn Kim
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J Korean Soc Coloproctol. 2011;27(2):64-70. Published online April 30, 2011
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DOI: https://doi.org/10.3393/jksc.2011.27.2.64
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- Purpose
The long-term results of a laparoscopic resection for colorectal cancer have been reported in several studies, but reports on the results of laparoscopic surgery for rectal cancer are limited. We investigated the long-term outcomes, including the five-year overall survival, disease-free survival and recurrence rate, after a laparoscopic resection for colorectal cancer. MethodsUsing prospectively collected data on 303 patients with colorectal cancer who underwent a laparoscopic resection between January 2001, and December 2003, we analyzed sex, age, stage, complications, hospital stay, mean operation time and blood loss. The overall survival rate, disease-free survival rate and recurrence rate were investigated for 271 patients who could be followed for more than three years. ResultsTumor-node-metastasis (TNM) stage I cancer was present in 55 patients (18.1%), stage II in 116 patients (38.3%), stage III in 110 patients (36.3%), and stage IV in 22 patients (7.3%). The mean operative time was 200 minutes (range, 100 to 535 minutes), and the mean blood loss was 97 mL (range, 20 to 1,200 mL). The mean hospital stay was 11 days and the mean follow-up period was 54 months. The mean numbers of resected lymph nodes were 26 and 21 in the colon and the rectum, respectively, and the mean distal margins were 10 and 3 cm. The overall morbidity rate was 26.1%. The local recurrence rates were 2.2% and 4.4% in the colon and the rectum, respectively, and the distant recurrence rates were 7.8% and 22.5%. The five-year overall survival rates were 86.1% in the colon (stage I, 100%; stage II, 97.6%; stage III, 77.5%; stage IV, 16.7%) and 68.8% in the rectum (stage I, 90.2%; stage II, 84.0%; stage III, 57.6; stage IV, 13.3%). The five-year disease-free survival rates were 89.8% in the colon (stage I, 100%; stage II, 97.7%; stage III, 74.2%) and 74.5% in the rectum (stage I, 90.0%; stage II, 83.9%; stage III, 59.2%). ConclusionLaparoscopic surgery for colorectal cancer is a good alternative method to open surgery with tolerable oncologic long-term results.
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Citations
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- The Determinants of Long-Term Outcomes After Colorectal Cancer Surgery: A Literature Review
Olorungbami K Anifalaje, Charles Ojo, Oluwaseyi T Balogun, Fikayo A Ayodele, Abeeb Azeez, Shirley Gabriels Cureus.2024;[Epub] CrossRef - Laparoscopic tme with sphincter preservation for rectal cancer: Five-year results
Hữu Thịnh Nguyễn Vietnam Journal of Endolaparoscopic Surgey.2020;[Epub] CrossRef - Functional and clinical outcomes of hand-assisted laparoscopic colorectal surgery: a single-institution experience in 255 patients
A. Dulskas, N.E. Samalavicius, R.K. Gupta, A. Kilius, K. Petrulis, R.S. Samalavicius, R. Tikuisis European Surgery.2015; 47(2): 75. CrossRef - Comparison of the clinical outcomes of laparoscopic-assisted versus open surgery for colorectal cancer
KAI CHEN, ZHUQING ZHANG, YUNFEI ZUO, SHUANGYI REN Oncology Letters.2014; 7(4): 1213. CrossRef - Comparison of Compliance of Adjuvant Chemotherapy Between Laparoscopic and Open Surgery in Patients With Colon Cancer
Kan Ho Chun, Byung Noe Bae, Hoon An, Hyeonseok Jeong, Hyunjin Cho, Geumhee Gwak, Keun Ho Yang, Ki Hwan Kim, Hong Ju Kim, Young Duk Kim Annals of Coloproctology.2014; 30(6): 274. CrossRef - Results of laparoscopic colorectal surgery from a national training center
Rudra Krishna Maitra, Austin G. Acheson, Chris Gornall, John H. Scholefield, Julian P. Williams, Charles A. Maxwell-Armstrong Asian Journal of Surgery.2014; 37(1): 1. CrossRef - Laparoscopic-Assisted Versus Open Surgery for Colorectal Cancer: Short- and Long-Term Outcomes Comparison
Antonio Biondi, Giuseppe Grosso, Antonio Mistretta, Stefano Marventano, Chiara Toscano, Salvatore Gruttadauria, Francesco Basile Journal of Laparoendoscopic & Advanced Surgical Techniques.2013; 23(1): 1. CrossRef - Long-term Outcomes After Resection for Submucosal Invasive Colorectal Cancers
Hiroaki Ikematsu, Yusuke Yoda, Takahisa Matsuda, Yuichiro Yamaguchi, Kinichi Hotta, Nozomu Kobayashi, Takahiro Fujii, Yasuhiro Oono, Taku Sakamoto, Takeshi Nakajima, Madoka Takao, Tomoaki Shinohara, Yoshitaka Murakami, Takahiro Fujimori, Kazuhiro Kaneko, Gastroenterology.2013; 144(3): 551. CrossRef - Palliative resection of the primary tumour in patients with Stage IV colorectal cancer: systematic review and meta‐analysis of the early outcome after laparoscopic and open colectomy
T. X. Yang, B. Billah, D. L. Morris, T. C. Chua Colorectal Disease.2013;[Epub] CrossRef - Major postoperative complications and survival for colon cancer elderly patients
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