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Article: Laparoscopic bowel resection in the setting of metastatic colorectal cancer

TitleLaparoscopic bowel resection in the setting of metastatic colorectal cancer
Authors
KeywordsColorectal cancer
Laparoscopic resection
Stage IV
Issue Date2008
PublisherSpringer New York LLC. The Journal's web site is located at http://www.annalssurgicaloncology.org
Citation
Annals Of Surgical Oncology, 2008, v. 15 n. 5, p. 1424-1428 How to Cite?
AbstractBackground: This study aimed to review the outcomes of laparoscopic colorectal resection for patients with stage IV colorectal cancer. Methods: From the prospectively collected database for patients who underwent surgery for colorectal cancer in our institution, those with stage IV colorectal cancer who underwent elective resection of tumor during the period from January 2000 to June 2006 were included. The outcomes of those with laparoscopic resection were reviewed and comparison was made between patients with laparoscopic and open resection. Results: A total of 200 patients (127 men) with median age of 69 years (range: 25-91 years) were included, and 77 underwent laparoscopic resection. Conversion was required in ten patients (13.0%) and all except one conversion were due to fixed or bulky tumors. There was no operative mortality in the laparoscopic group. The complication rate was 14% and the median postoperative hospital stay was 7 days. When patients with laparoscopic resection were compared with those with open operations, there was no difference in age, gender, comorbidity, or tumor size between the two groups. However, the complication rate was significantly lower in those with laparoscopic resection (14% versus 32%, P = 0.007) and the median hospital stay was significantly shorter (7 days versus 8 days, P = 0.005).The operative mortalities and the survivals were similar in the two groups. Conclusions: Colorectal resection can be performed safely in patients with stage IV colorectal cancer. The operative outcomes in terms of complication rate and hospital stay compare favorably with patients with open resection. © 2008 Society of Surgical Oncology.
Persistent Identifierhttp://hdl.handle.net/10722/83611
ISSN
2015 Impact Factor: 3.655
2015 SCImago Journal Rankings: 1.902
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLun Law, Wen_HK
dc.contributor.authorFan, JKMen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorKwok Choi, Hen_HK
dc.contributor.authorLo, OSHen_HK
dc.date.accessioned2010-09-06T08:43:05Z-
dc.date.available2010-09-06T08:43:05Z-
dc.date.issued2008en_HK
dc.identifier.citationAnnals Of Surgical Oncology, 2008, v. 15 n. 5, p. 1424-1428en_HK
dc.identifier.issn1068-9265en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83611-
dc.description.abstractBackground: This study aimed to review the outcomes of laparoscopic colorectal resection for patients with stage IV colorectal cancer. Methods: From the prospectively collected database for patients who underwent surgery for colorectal cancer in our institution, those with stage IV colorectal cancer who underwent elective resection of tumor during the period from January 2000 to June 2006 were included. The outcomes of those with laparoscopic resection were reviewed and comparison was made between patients with laparoscopic and open resection. Results: A total of 200 patients (127 men) with median age of 69 years (range: 25-91 years) were included, and 77 underwent laparoscopic resection. Conversion was required in ten patients (13.0%) and all except one conversion were due to fixed or bulky tumors. There was no operative mortality in the laparoscopic group. The complication rate was 14% and the median postoperative hospital stay was 7 days. When patients with laparoscopic resection were compared with those with open operations, there was no difference in age, gender, comorbidity, or tumor size between the two groups. However, the complication rate was significantly lower in those with laparoscopic resection (14% versus 32%, P = 0.007) and the median hospital stay was significantly shorter (7 days versus 8 days, P = 0.005).The operative mortalities and the survivals were similar in the two groups. Conclusions: Colorectal resection can be performed safely in patients with stage IV colorectal cancer. The operative outcomes in terms of complication rate and hospital stay compare favorably with patients with open resection. © 2008 Society of Surgical Oncology.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://www.annalssurgicaloncology.orgen_HK
dc.relation.ispartofAnnals of Surgical Oncologyen_HK
dc.subjectColorectal canceren_HK
dc.subjectLaparoscopic resectionen_HK
dc.subjectStage IVen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshBone Neoplasms - secondary - surgeryen_HK
dc.subject.meshColorectal Neoplasms - pathology - surgeryen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLaparoscopyen_HK
dc.subject.meshLength of Stayen_HK
dc.subject.meshLiver Neoplasms - secondary - surgeryen_HK
dc.subject.meshLung Neoplasms - secondary - surgeryen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPeritoneal Neoplasms - secondary - surgeryen_HK
dc.subject.meshPostoperative Complicationsen_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshSurvival Rateen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.titleLaparoscopic bowel resection in the setting of metastatic colorectal canceren_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1068-9265&volume=15&issue=5&spage=1424&epage=1428&date=2008&atitle=Laparoscopic+bowel+resection+in+the+setting+of+metastatic+colorectal+canceren_HK
dc.identifier.emailLun Law, W: lawwl@hkucc.hku.hken_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.authorityLun Law, W=rp00436en_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1245/s10434-008-9820-6en_HK
dc.identifier.pmid18253800-
dc.identifier.scopuseid_2-s2.0-41549127063en_HK
dc.identifier.hkuros150607en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-41549127063&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue5en_HK
dc.identifier.spage1424en_HK
dc.identifier.epage1428en_HK
dc.identifier.eissn1534-4681-
dc.identifier.isiWOS:000254623100024-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLun Law, W=7103147867en_HK
dc.identifier.scopusauthoridFan, JKM=23484820100en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridKwok Choi, H=23486003800en_HK
dc.identifier.scopusauthoridLo, OSH=6508168045en_HK

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