Title: Analysis on long-term outcomes of laparoscopic versus open surgery for colon cancer
Abstract: Objective: To evaluate the long-term effect of laparoscopic and open radical resection for colon cancer. Methods: One hundred and eighty-three patients with colon cancer from October 2003 to June 2009 were divided into laparoscopic surgery (LS)gr oup (n=102)and open surgery(OS)group(n=81). Long-term postoperative complications, local recurrence, distant metastasis and 5-year survival rate were compared between the groups by stage. Results: There was no statistical difference in sex, age, pathological type and tumor location between the groups(P0.05). The incidence of postoperative adhesive intestinal obstruction in LS group was significantly lower than that in OS group(7.0% vs 22.6% , P=0.036 in stageⅠ/Ⅱ; 7.9% vs 24.5% , P=0.042 in stage Ⅲ), while there was no significant difference in the incidences of incision hernia, incision seeding, local recurrence and distant metastasis for different stage between the groups(P0.05). The 5-year survival rates were 77.4% in LS group and 75.7% in OS group for stage Ⅰ/Ⅱ (P=0.626), and 71.8% in LS group and 65.6% in OS group for stage Ⅲ(P=0.517), respectively. Conclusion: Long-term effect of laparoscopic resection is similar to that of open resection for colon cancer, but laparoscopic surgery has less long-term complications.
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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