title: [Laparoscopic bowel resection for stage IV colorectal cancer].
abstract: The purpose of this study was to review the outcomes of laparoscopic bowel resection for patients with Stage IV colorectal cancer. Twenty nine patients with cStage IV disease were undergone a bowel resection during the period from April 2006 to December 2009 in our hospital. Twenty one patients were undergone a laparoscopic resection and the other 8 for an open resection. Our data base was reviewed retrospectively regarding the patient demography, operation time, amount of bleeding, dissection level, stoma operation rate, perioperative morbidity and mortality, length of stay, induction rate for chemotherapy, the length between operation and chemotherapy and response rate for chemotherapy. Then the usefulness of laparoscopic resection and open resection were compared. There were significant differences in amount of bleeding, stoma operation rate, perioperative morbidity and the length of stay. Especially, the complication rate was significantly lower in those with laparoscopic resection than open resection (9.5% versus 63%). Hence, a laparoscopic bowel resection is safe and feasible option for Stage IV colorectal cancer patients.
authors.affiliation: Dept. of Surgery, Suita Municipal Hospital.
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Ide
authors.forename: Kohei
authors.initials: K
authors.lastname: Murata
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D016896:Treatment Outcome