Laparoscopic surgery for stage I colorectal cancer.
BACKGROUND
This study analyzed the short- and long-term outcomes of laparoscopic surgery (LS) in patients with stage I colorectal cancer.


METHODS
A total of 130 patients with stage I colorectal cancer underwent LS between 1992 and 1999. Median follow-up was 61 months (range, 30-114).


RESULTS
Oral intake was started on median postoperative day 1, and the median postoperative hospital stay was 8 days. Postoperative complications included wound sepsis in eight patients (6.2%), anastomotic leakage in four patients (3.1%), and bowel obstruction in three patients (2.3%). Five patients developed recurrences. No port site recurrences were observed. The calculated 5-year survival rate was 97.9%.


CONCLUSIONS
LS was shown to be technically feasible and oncologically sound for the treatment of patients with stage I colorectal cancer, and favorable short- and long-term outcomes were obtained.
Watanabe
M
M
Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan. jstmr@sc.itc.keio.ac.jp
Hasegawa
H
H
Yamamoto
S
S
Baba
H
H
Kitajima
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D003082:Colectomy / Q000379:methods* / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D004435:Eating; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000453:epidemiology / Q000209:etiology; D010535:Laparoscopy / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011446:Prospective Studies; D020127:Recovery of Function; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000209:etiology; D016019:Survival Analysis; D015996:Survival Rate; D016896:Treatment Outcome