title: [Examination of the Usefulness of Laparoscopic Resection for Primary Lesions of Stage Ⅳ Colorectal Cancer].
abstract: For patients with Stage Ⅳ colorectal cancer, primary site resection improves survival and relieves symptoms of bleeding and obstruction by the primary lesion. Laparoscopic surgery is thought to be useful for Stage Ⅳ colorectal cancer because of its low aggressiveness and the short recovery time. We examined the usefulness of laparoscopic resection of primary lesions for Stage Ⅳ colon cancer patients. Forty-one cases of Stage Ⅳ colorectal cancer treated by resection of the primary lesion were investigated, and we compared the group of patients with laparoscopic surgery (LAC) to the group of patients with open laparotomy (OP). The LAC Group was superior to the OP Group from the viewpoint of blood loss, days of hospitalization, and length of time from operation to start of chemotherapy. For Stage Ⅳ colorectal cancer, laparoscopic resection of the primary lesion is thought to be a useful method to reduce the invasiveness of treatment.
authors.affiliation: Dept. of Digestive Surgery, Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Fukunaga
authors.forename: Ryohei
authors.initials: R
authors.lastname: Yukimoto
authors.forename: Shinji
authors.initials: S
authors.lastname: Tokuyama
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kubo
authors.forename: Kiminori
authors.initials: K
authors.lastname: Yanagisawa
authors.forename: Akina
authors.initials: A
authors.lastname: Saito
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Okada
authors.forename: Hideo
authors.initials: H
authors.lastname: Ota
authors.forename: Masaki
authors.initials: M
authors.lastname: Kashiwazaki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Miki
authors.forename: Kenji
authors.initials: K
authors.lastname: Kobayashi
mesh_terms: D000368:Aged; D003082:Colectomy; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D009367:Neoplasm Staging; D016896:Treatment Outcome