Outcome following laparoscopic resection for colorectal cancer
- 1 May 1998
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 85 (5), 662-664
- https://doi.org/10.1046/j.1365-2168.1998.00634.x
Abstract
Background A prospective comparison of laparoscopic or laparoscopically assisted colorectal resection versus open resection has been undertaken to evaluate early benefits and cost implications. Methods Consecutive patients with colorectal cancer underwent either elective laparoscopic (n = 25) or open (n = 29) resection. Results Mean hospital stay was significantly shorter in the laparoscopic group: 10·7 versus 17·8 days. Mean morphine requirements were less in patients who had laparoscopic resection and their recovery, as measured by the dynamometer hand grip and the SF-36 symptom score, was more rapid. Adequate tumour clearance was achieved in the laparoscopic group. In both groups, the number of lymph nodes harvested was similar. Port-site or wound recurrence has not been observed at a median follow-up of 28 months. Conclusion When laparoscopic colorectal resection is possible, there are significant early benefits for patients.Keywords
This publication has 11 references indexed in Scilit:
- Prospective comparison of open vs. laparoscopic colon surgery for carcinomaDiseases of the Colon & Rectum, 1996
- Prospective Evaluation of Laparoscopic-Assisted Large-Bowel Excision for CancerAnnals of Surgery, 1996
- Port site metastases after laparoscopic colorectal surgery for cure of malignancyBritish Journal of Surgery, 1995
- Laparoscopic colonic surgeryBritish Journal of Surgery, 1995
- Abdominal wall metastases following laparoscopyBritish Journal of Surgery, 1994
- Laparoscopy and Colon CancerArchives of Surgery, 1994
- Abdominal wall metastases following laparoscopyBritish Journal of Surgery, 1994
- Abdominal wall recurrence after laparoscopic-assisted colectomy for adenocarcinoma of the colonDiseases of the Colon & Rectum, 1993
- The mesorectum in rectal cancer surgery—the clue to pelvic recurrence?British Journal of Surgery, 1982
- The Spread of Rectal Cancer and its Effect on PrognosisBritish Journal of Cancer, 1958