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Laparoscopic Versus Open Multivisceral Resection for Primary Colorectal Cancer: Comparison of Perioperative Outcomes

  • Original Article
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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

The role of laparoscopic surgery for locally advanced colorectal cancer invading or adhering to neighboring organs is controversial. This study evaluated the safety and feasibility of laparoscopic multivisceral resection for colorectal cancer.

Methods

This study included 126 patients who underwent multivisceral resection for primary colorectal cancer invading or adhering to neighboring organs or structures between July 2005 and November 2012 at our institution. Perioperative outcomes were compared between laparoscopic and open resections.

Results

Laparoscopic and open multivisceral resections were performed in 60 and 66 patients, respectively. Conversion to open surgery occurred in 6.7 % of patients. The median operative time was significantly longer (271 vs. 227 min), but the median blood loss was significantly less (40 vs. 205 mL), in the laparoscopic compared with the open group. The R0 resection rate of the primary tumor (95 vs. 98.5 %), number of lymph nodes harvested (18 vs. 18), and postoperative complications (28 vs. 24 %) were comparable between the groups. The median length of hospital stay was significantly shorter (13.5 vs. 18 days) in the laparoscopic compared with the open group.

Conclusions

Laparoscopic multivisceral resection for colorectal cancer invading or adhering to neighboring organs is safe and feasible in selected patients.

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Authors and Affiliations

  1. Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, 3-10-6, Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Yasutomo Nagasue, Takashi Akiyoshi, Masashi Ueno, Yosuke Fukunaga, Satoshi Nagayama, Yoshiya Fujimoto, Tsuyoshi Konishi, Toshiya Nagasaki, Jun Nagata, Toshiki Mukai, Atsushi Ikeda, Riki Ono & Toshiharu Yamaguchi

Authors
  1. Yasutomo Nagasue
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  2. Takashi Akiyoshi
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  3. Masashi Ueno
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  4. Yosuke Fukunaga
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  5. Satoshi Nagayama
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  6. Yoshiya Fujimoto
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  7. Tsuyoshi Konishi
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  8. Toshiya Nagasaki
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  9. Jun Nagata
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  10. Toshiki Mukai
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  11. Atsushi Ikeda
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  12. Riki Ono
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  13. Toshiharu Yamaguchi
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Corresponding author

Correspondence to Takashi Akiyoshi.

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Nagasue, Y., Akiyoshi, T., Ueno, M. et al. Laparoscopic Versus Open Multivisceral Resection for Primary Colorectal Cancer: Comparison of Perioperative Outcomes. J Gastrointest Surg 17, 1299–1305 (2013). https://doi.org/10.1007/s11605-013-2222-5

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  • DOI: https://doi.org/10.1007/s11605-013-2222-5

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