title: Effectiveness of Laparoscopic Surgery for Obstructive Colorectal Cancer After Tube Decompression.
abstract: BACKGROUND
  It is debatable whether laparoscopic surgery is suitable for obstructive colorectal cancer.
  
  
  METHODS
  We retrospectively reviewed the clinical and oncological effectiveness of laparoscopic surgery after tube decompression for obstructive colorectal cancer in 54 patients (18 laparoscopic resections, 36 open resections).
  
  
  RESULTS
  There were no significant differences between groups with respect to mean size, location, depth, and stage of tumor, median operating times, or median number of lymph nodes retrieved. Abdominal wound infection rate was significantly lower in the laparoscopic than in the open group (0%:22%, P=0.02), as were mean times to first gas passage after surgery (2.3:3.4 d, P=0.002) and mean postoperative hospital stays (16:24.3 d, P=0.03). The 3-year disease-free survival rate of curative resection cases in the laparoscopic (85%) and open (72%) groups were not significantly different.
  
  
  CONCLUSIONS
  Laparoscopic surgery after tube decompression achieves faster recovery and equal oncological outcome as open surgery and should be a treatment of choice for obstructive colorectal cancer.
authors.affiliation: *Department of Surgery, Division of Gastrointestinal Surgery, Kobe University Graduate School of Medicine, Kobe †Department of Surgery, Yodogawa Christian Hospital, Osaka, Japan.
authors.forename: Kiyonori
authors.initials: K
authors.lastname: Kanemitsu
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Sumi
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Yamashita
authors.forename: Masashi
authors.initials: M
authors.lastname: Ymamoto
authors.forename: Shingo
authors.initials: S
authors.lastname: Kanaji
authors.forename: Taro
authors.initials: T
authors.lastname: Oshikiri
authors.forename: Tetsu
authors.initials: T
authors.lastname: Nakamura
authors.forename: Satoshi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Akihiro
authors.initials: A
authors.lastname: Toyokawa
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kakeji
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology; D016896:Treatment Outcome