Comparison of Laparoscopic and Open Surgery for Colorectal Cancer in Patients with Severe Comorbidities

被引：16

作者：

Numata, Masakatsu ^{[1
]}

Sawazaki, Sho ^{[1
]}

Morita, Junya ^{[1
]}

Maezawa, Yukio ^{[1
]}

Amano, Shinya ^{[1
]}

Aoyama, Toru ^{[1
]}

Sato, Tsutomu ^{[1
]}

Oshima, Takashi ^{[1
]}

Mushiake, Hiroyuki ^{[1
]}

Yukawa, Norio ^{[1
]}

Shiozawa, Manabu ^{[2
]}

Rino, Yasushi ^{[1
]}

Masuda, Munetaka ^{[1
]}

机构：

[1] Yokohama City Univ, Dept Surg, Yokohama, Kanagawa, Japan

[2] Kanagawa Canc Ctr Hosp, Dept Surg Gastroenterol, Yokohama, Kanagawa, Japan

来源：

ANTICANCER RESEARCH | 2018年 / 38卷 / 02期

关键词：

Colorectal cancer; laparoscopic surgery; comorbidity; age-adjusted Charlson comorbidity index; LENGTH-OF-STAY; COLON-CANCER; OPEN COLECTOMY; SURGICAL RESECTION; CO-MORBIDITY; AGE; MORTALITY; OUTCOMES; IMPACT; INDEX;

D O I：

10.21873/anticanres.12310

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background/Aim: To evaluate the safety of laparoscopic colorectal cancer surgery for patients with severe comorbidities. Patients and Methods: A total of 203 consecutive patients with severe comorbidities who underwent resection for colorectal cancer were retrospectively divided into laparoscopic and open primary resection groups. An age-adjusted Charlson comorbidity index >= 6 was considered as severe comorbidity. Results: Blood loss (31 g vs. 207 g, p<0.01) and total postoperative complications (10.0% vs. 27.5%, p<0.01) in the laparoscopic group were significantly decreased compared to the open group. Incidence of postoperative ileus (0.0% vs. 7.2%, p=0.06) and length of postoperative hospital stay (11 days vs. 14 days, p=0.08) in the laparoscopic group were improved, though not significantly, compared to the open group. Conclusion: Laparoscopic resection for patients with severe comorbidities is safe, and is associated with a lower rate of overall operative complications compared to open surgery.

引用

页码：963 / 967

页数：5

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