Comparative study on long-term results of laparoscopic and open radical resection for colorectal carcinoma.
- Author:
Li-yuan QIAN
1
;
Jun-hui WU
;
Dao-jin CHEN
;
Xiao-rong LI
;
Yuan-shui WEI
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Colorectal Neoplasms; surgery; Female; Follow-Up Studies; Humans; Laparoscopy; Male; Middle Aged; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2006;9(4):294-296
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the long-term results of laparoscopic and open radical resection for colorectal carcinoma.
METHODSTwo hundred and fifteen patients with colorectal cancer from January 1996 to September 2000 were non-randomly divided into laparoscopic and open operation groups. Local recurrence, distant metastasis, 5-year survival rate and long-term postoperative complications were compared between the two groups.
RESULTSEighty-seven cases received laparoscopic resection and 128 cases received open operation. There were no statistical differences in age, sex and tumor stage between the two groups (P > 0.05). The 5-year-survival rate was 70% in open operation group, and 78% in laparoscopic group (P > 0.05). There were no significant differences in the incidences of local recurrence, distant metastasis, incision seeding, and incision hernia between the two groups (P > 0.05). The complication rate of postoperative adhesive intestinal obstruction was significantly lower in laparoscopic group than that in open operation group (P< 0.05).
CONCLUSIONSLong-term results of laparoscopic resection are similar to those of open resection for colorectal carcinoma, but laparoscopic surgery has less long-term complications.
