[Laparoscopic surgery for primary resection of StageIV colorectal cancer].
BACKGROUND
The outcomes of laparoscopic surgery for primary tumors of symptomatic Stage IV colorectal cancer have not been clarified.This study aimed to review the outcomes of colorectal resection in patients with symptomatic StageIV colorectal cancer, treated either by laparoscopic colorectal resection (LAC), or by open colorectal resection (OC).


RESULTS
A total of 69 patients were included, of which 55 patients underwent LAC.The proportion of patients with ileus was higher in the OC group than in the LAC group.The conversion rate of patients receiving LAC was 13% (7 cases).No operative mortality was observed in either group.The operation time was shorter, postoperative complication rate was lower, and postoperative hospital stay was significantly shorter in the LAC group.Median survival times in the LAC and OC groups were 26.3 months and 26.8 months, respectively.


CONCLUSIONS
Although the short-term outcome of LAC for symptomatic Stage IV colorectal cancer was favorable, the long-term outcomes were similar in both groups.A safe and minimally invasive surgical procedure is needed for the treatment of Stage IV colorectal patients.
Dept. of Surgery, Suita Municipal Hospital.
Kohei
K
Murata
Yuma
Y
Wada
Shu
S
Okamura
Yoichiro
Y
Nushijima
Kazuyuki
K
Okada
Nariaki
N
Fukuchi
Chikara
C
Ebisui
Masakatsu
M
Kinuta
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications; D016896:Treatment Outcome