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Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution

The present study aimed to compare the results of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy (CL) at a single institution in Japan. Of the 212 patients with stage I/II/III colorectal cancer who received a curative resection, 98 patients underwent HALS and 114 patients unde...

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Autores principales: TAJIMA, TAKAYUKI, MUKAI, MASAYA, YAMAZAKI, MASASHI, HIGAMI, SHIGEO, YAMAMOTO, SOUICHIROU, HASEGAWA, SAYURI, NOMURA, EIJI, SADAHIRO, SOTARO, YASUDA, SEIEI, MAKUUCHI, HIROYASU
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081301/
https://www.ncbi.nlm.nih.gov/pubmed/25013477
http://dx.doi.org/10.3892/ol.2014.2182
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author TAJIMA, TAKAYUKI
MUKAI, MASAYA
YAMAZAKI, MASASHI
HIGAMI, SHIGEO
YAMAMOTO, SOUICHIROU
HASEGAWA, SAYURI
NOMURA, EIJI
SADAHIRO, SOTARO
YASUDA, SEIEI
MAKUUCHI, HIROYASU
author_facet TAJIMA, TAKAYUKI
MUKAI, MASAYA
YAMAZAKI, MASASHI
HIGAMI, SHIGEO
YAMAMOTO, SOUICHIROU
HASEGAWA, SAYURI
NOMURA, EIJI
SADAHIRO, SOTARO
YASUDA, SEIEI
MAKUUCHI, HIROYASU
author_sort TAJIMA, TAKAYUKI
collection PubMed
description The present study aimed to compare the results of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy (CL) at a single institution in Japan. Of the 212 patients with stage I/II/III colorectal cancer who received a curative resection, 98 patients underwent HALS and 114 patients underwent CL. The clinical background and post-operative management did not differ between the two groups. There were no significant differences in the 3-year relapse-free and 3-year overall survival rates between the HALS and CL groups for the patients in any stage. Blood loss during surgery was 250.1 and 135.5 ml (mean and median; the same hereafter) in stage I patients receiving HALS versus 608.2 and 315.5 ml in stage I CL patients (P=0.006), while it was 277.6 and 146 ml in stage II patients receiving HALS versus 548.6 and 347 ml in stage II CL patients (P=0.004). Post-operative hospital stay was recorded at 16.8 and 15 days in stage III patients receiving HALS versus 23.1 and 21 days in stage III CL patients (P=0.001). There were no significant differences in the operating time or complications between the two groups. These results indicate that the survival rate was comparable for HALS and CL, while HALS caused less surgical stress and achieved a better cosmetic outcome. The results of the final analysis of this cohort are awaited.
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spelling pubmed-40813012014-07-10 Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution TAJIMA, TAKAYUKI MUKAI, MASAYA YAMAZAKI, MASASHI HIGAMI, SHIGEO YAMAMOTO, SOUICHIROU HASEGAWA, SAYURI NOMURA, EIJI SADAHIRO, SOTARO YASUDA, SEIEI MAKUUCHI, HIROYASU Oncol Lett Articles The present study aimed to compare the results of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy (CL) at a single institution in Japan. Of the 212 patients with stage I/II/III colorectal cancer who received a curative resection, 98 patients underwent HALS and 114 patients underwent CL. The clinical background and post-operative management did not differ between the two groups. There were no significant differences in the 3-year relapse-free and 3-year overall survival rates between the HALS and CL groups for the patients in any stage. Blood loss during surgery was 250.1 and 135.5 ml (mean and median; the same hereafter) in stage I patients receiving HALS versus 608.2 and 315.5 ml in stage I CL patients (P=0.006), while it was 277.6 and 146 ml in stage II patients receiving HALS versus 548.6 and 347 ml in stage II CL patients (P=0.004). Post-operative hospital stay was recorded at 16.8 and 15 days in stage III patients receiving HALS versus 23.1 and 21 days in stage III CL patients (P=0.001). There were no significant differences in the operating time or complications between the two groups. These results indicate that the survival rate was comparable for HALS and CL, while HALS caused less surgical stress and achieved a better cosmetic outcome. The results of the final analysis of this cohort are awaited. D.A. Spandidos 2014-08 2014-05-27 /pmc/articles/PMC4081301/ /pubmed/25013477 http://dx.doi.org/10.3892/ol.2014.2182 Text en Copyright © 2014, Spandidos Publications http://creativecommons.org/licenses/by/3.0 This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.
spellingShingle Articles
TAJIMA, TAKAYUKI
MUKAI, MASAYA
YAMAZAKI, MASASHI
HIGAMI, SHIGEO
YAMAMOTO, SOUICHIROU
HASEGAWA, SAYURI
NOMURA, EIJI
SADAHIRO, SOTARO
YASUDA, SEIEI
MAKUUCHI, HIROYASU
Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
title Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
title_full Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
title_fullStr Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
title_full_unstemmed Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
title_short Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
title_sort comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: interim results from a single institution
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081301/
https://www.ncbi.nlm.nih.gov/pubmed/25013477
http://dx.doi.org/10.3892/ol.2014.2182
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