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2014, Number 3

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Cir Cir 2014; 82 (3)

Laparoscopic versus open surgery for colorectal cancer. A comparative study

Arribas-Martin A, Díaz-Pizarro-Graf JI, Muñoz-Hinojosa JD, Valdés-Castañeda A, Cruz-Ramírez O, Marie BM

Language: Spanish
References: 16
Page: 274-281
PDF size: 364.67 Kb.


ABSTRACT

Background: Laparoscopic surgery for colorectal cancer is currently accepted and widespread worldwide. However, according tol the surgical experience on this approach, surgical and short-term oncologic results may vary. Studies comparing laparoscopic vs. open surgery in our population are scarce.
Objective: To determine the superiority of the laparoscopic vs. open technique for colorectal cancer surgery.
Methods: This retrospective and comparative study collected data from patients operated on for colorectal cancer between 1999 and 2011 at the Angeles Lomas Hospital, Mexico.
Results: A total of 82 patients were included in this study; 47 were operated through an open approach and 35 laparoscopically. Mean operative time was significantly lower in the open approach group (p= 0.008). There were no significant difference between both techniques for intraoperative bleeding (p= 0.3980), number of lymph nodes (p= 0.27), time to initiate oral feeding (p= 0.31), hospital stay (p= 0.12), and postoperative pain (p= 0.19). Procedure-related complications rate and type were not significantly different in both groups (p= 0.44). Patients operated laparoscopically required significantly less analgesic drugs (p= 0.04) and less need for epidural postoperative analgesia (p= 0.01).
Conclusions: Laparoscopic approach is as safe as the traditional open approach for colorectal cancer. Early oncological and surgical results confirm its suitability according to this indication.


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