title: Open surgery versus laparoscopic surgery after stent insertion for obstructive colorectal cancer.
abstract: OBJECTIVE
  To compare the outcomes of laparoscopic surgery vs. open surgery after insertion of a colonic stent for obstructive colorectal cancer.
  
  
  METHODS
  Between April 2005 and August 2013, 58 patients underwent surgery after the insertion of a colonic stent for obstructive colorectal cancer. We analyzed the outcomes of the patients who underwent laparoscopic surgery vs. those who underwent open surgery.
  
  
  RESULTS
  We compared blood loss, operative time, hospital stay, and complications in 26 patients who underwent laparoscopic surgery and 32 patients who underwent open surgery. Blood loss was significantly less in the laparoscopic surgery group, but operative time was significantly shorter in the open surgery group. The length of hospital stay was shorter in the laparoscopic surgery group than in the open surgery group, but the difference was not significant. There was no significant difference in postoperative surgical complications between the groups.
  
  
  CONCLUSIONS
  The patients who underwent laparoscopic resection had less blood loss, although no significant difference was found in postoperative morbidity or mortality. Thus, laparoscopic resection after stent insertion is a feasible and safe option for patients with obstructive colorectal cancer.
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan. eno@fj8.so-net.ne.jp.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Enomoto
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Saida
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Takabayashi
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Sayaka
authors.initials: S
authors.lastname: Nagao
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Emiko
authors.initials: E
authors.lastname: Takeshita
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Ryohei
authors.initials: R
authors.lastname: Watanabe
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Asako
authors.initials: A
authors.lastname: Takahashi
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Nakamura
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Asai
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Manabu
authors.initials: M
authors.lastname: Watanebe
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Jiro
authors.initials: J
authors.lastname: Nagao
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
authors.forename: Shinya
authors.initials: S
authors.lastname: Kusachi
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000150:complications* / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery*; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D009017:Morbidity; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology / Q000401:mortality; D015607:Stents; D016896:Treatment Outcome
keywords: Colonic stent; Laparoscopic surgery; Obstructive colorectal cancer