Effect of short-term recurrence of early stage colon cancer by laparoscopic colon cancer radical
10.3969/j.issn.1009-9905.2017.06.004
- VernacularTitle:腹腔镜结肠癌根治术对早期结肠癌术后近期复发的影响
- Author:
Naiying SHEN
;
Tianzheng ZHANG
;
Chang LIU
;
Mengguo HE
;
Kang ZHENG
;
Zhixiang WANG
- Keywords:
Laparoscope colon cancer radical surgery;
Open colon cancer radical surgery;
Cancer recurrence;
Disease-free survival rate
- From:
Chinese Journal of Current Advances in General Surgery
2017;20(6):435-439
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Comparing the influence of colon cancer recurrence of laparoscopic and open operation to evaluate the safety and validity of operation.Methods:The cohort study includes 62 cases of laparoscopic and 83 cases of open colon cancer radical surgery from January 2010 to October 2012.The research aimed at comparing the effects of laparoscopic and open surgery for colon cancer recurrence by analyzing postoperative follow-up ending and GCC-mRNA & CEA.Results:There have no obvious differences in age,sex,BMI,tumor size,stage,grade,pathological types and resection range between laparoscopy and open group(P＞0.05).Postoperative 3-years recurrence of two groups have no difference (P＞0.05),but 1-year recurrence rate of laparoscopic was obviously lower than open operation (3.2％ vs 14.5％,P＜0.05).There have no obvious differences of postoperative overall survival rate and mortality(P＞0.05),but 1-year disease-free survival rate of laparoscopic group was obviously higher than laparotomy group (93.5％ vs 81.3％,P＜0.05).The postoperative GCC-mRNA and CEA positive rate of laparoscopic was significantly lower than laparotomy group.Univariable and Multivariable analysis reveals that laparoscopic colorectal cancer radical can obviously reduce the cancer recurrence within 1 year (P＜0.05).Addition,stage,aspirin and other amino acid drugs are independent risk factors of postoperative recurrence (P＜0.05).Conclusion:Laparoscopic colon cancer radical surgery is a safe and effective operation and can reduce short-term recurrence of colorectal cancer compared to open surgery.
