[Comparative study on long-term results of laparoscopic and open radical resection for colorectal carcinoma].
OBJECTIVE
To compare the long-term results of laparoscopic and open radical resection for colorectal carcinoma.


METHODS
Two hundred and fifteen patients with colorectal cancer from January 1996 to September 2000 were non-randomly divided into laparoscopic and open operation groups. Local recurrence, distant metastasis, 5-year survival rate and long-term postoperative complications were compared between the two groups.


RESULTS
Eighty-seven cases received laparoscopic resection and 128 cases received open operation. There were no statistical differences in age, sex and tumor stage between the two groups (P > 0.05). The 5-year-survival rate was 70% in open operation group, and 78% in laparoscopic group (P > 0.05). There were no significant differences in the incidences of local recurrence, distant metastasis, incision seeding, and incision hernia between the two groups (P > 0.05). The complication rate of postoperative adhesive intestinal obstruction was significantly lower in laparoscopic group than that in open operation group (P< 0.05).


CONCLUSIONS
Long-term results of laparoscopic resection are similar to those of open resection for colorectal carcinoma, but laparoscopic surgery has less long-term complications.
Qian
Li-yuan
LY
Department of General Surgery, The Third Xiangya Hospital, Central South University, Changsha 410013, China. qianLiyuan@medmail.com.cn
Wu
Jun-hui
JH
Chen
Dao-jin
DJ
Li
Xiao-rong
XR
Wei
Yuan-shui
YS
D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome