Short-term efficacy of laparoscopic-assisted radical surgery for metachronous multiple primary colorectal cancer
10.3760/cma.j.cn113855-20241202-00655
- VernacularTitle:腹腔镜辅助根治术治疗异时性多原发结直肠癌的近期疗效分析
- Author:
Jiyun LI
1
;
Ruoxi TIAN
1
;
Pu CHENG
1
;
Hengchang LIU
1
;
Haipeng CHEN
1
;
Zhaoxu ZHENG
1
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院结直肠外科，北京 100021
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Laparoscopy
- From:
Chinese Journal of General Surgery
2025;40(2):119-122
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and efficacy of laparoscopic-assisted radical surgery in the treatment of metachronous multiple primary colorectal cancer (MCC).Methods:A retrospective analysis was conducted on 27 MCC patients undergoing laparoscopic-assisted radical surgery (laparoscopic group) and 36 MCC patients undergoing open radical surgery (open group) from Jan 2012 to Jan 2022 at the Department of Colorectal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences.Results:The laparoscopic group was superior to the open group in terms of intraoperative blood loss [(53.7±111.5) ml vs. (132.5±154.9) ml, t=-2.241, P=0.029], time to first postoperative flatus [(2.2±0.7) days vs. (3.5±0.6) days, t=-7.752, P<0.001], time to first postoperative defecation [(2.9±0.6) days vs. (4.3±0.6) days, t=-8.841, P<0.001], and postoperative hospital stay [(7.2±2.4) days vs. (10.6±3.5) days, t=-4.518, P<0.001]. There were no significant differences between the two groups in terms of operation time, number of lymph nodes dissected, positive rate of specimen margin, resection rate of previous colorectal cancer anastomotic stoma, and incidence of postoperative complications (all P>0.05). Conclusion:Laparoscopic surgery is a safe and minimally invasive alternative to open surgery for MCC patients.
