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
收藏
页码：963 / 967
页数：5
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