Abstract
Background. The present study aimed to compare the clinical outcomes of laparoscopic versus open surgery for colorectal cancers. Materials and Methods. The medical records from a total of 163 patients who underwent surgery for colorectal cancers were retrospectively analyzed. Patient's demographic data, operative details and postoperative early outcomes, outpatient follow-up, pathologic results, and stages of the cancer were reviewed from the database. Results. The patients who underwent laparoscopic surgery showed significant advantages due to the minimally invasive nature of the surgery compared with those who underwent open surgery, namely, less blood loss, faster postoperative recovery, and shorter postoperative hospital stay (P < 0.05). However, laparoscopic surgery for colorectal cancer resulted in a longer operative time compared with open surgery (P < 0.05). There were no statistically significant differences between groups for medical complications (P > 0.05). Open surgery resulted in more incisional infections and postoperative ileus compared with laparoscopic surgery (P < 0.05). There were no differences in the pathologic parameters between two groups (P < 0.05). Conclusions. These findings indicated that laparoscopic surgery for colorectal cancer had the clear advantages of a minimally invasive surgery and relative disadvantage with longer surgery time and exhibited similar pathologic parameters compared with open surgery.
Highlights
Colorectal cancer remains the third most common cancer diagnosed and the third most common cause of cancer death in both sexes in industrialized nations [1]
Many studies have suggested that laparoscopic surgery is superior to open surgery, the acceptance of this technique for colorectal cancer has been rather slow in clinical practice [2, 3]
Laparoscopic surgery at our institution was associated with slightly longer operative time, significantly faster postoperative recovery, lower incisional infections and postoperative ileus, and similar pathologic results
Summary
Colorectal cancer remains the third most common cancer diagnosed and the third most common cause of cancer death in both sexes in industrialized nations [1]. Despite the theoretical short-term advantages and equivalent cancer outcomes, adoption rates of laparoscopic colorectal surgery remain low in Europe and USA. The aim of this retrospective review is to assess the feasibility and oncologic adequacy of laparoscopic surgery comparing the operative characteristics and short-term oncological outcomes for laparoscopic surgery with conventional open surgery in patients with colorectal cancer over a period of 3 years in our center. These findings indicated that laparoscopic surgery for colorectal cancer had the clear advantages of a minimally invasive surgery and relative disadvantage with longer surgery time and exhibited similar pathologic parameters compared with open surgery
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