The Significance of Laparoscopic Surgery for Stage IV Colorectal Cancer

Masanori Arita, MD, Mitsuo Shimada, phD, Nobuhiro Kurita, phD, Takashi Iwata, phD, Masanori Nishioka, phD, Shinya Morimoto, phD, Kouzou Yoshikawa, phD, Jun Higashijima, phD, Tomohiko Miyatani, MD, Chie Mikami, MD, Hideya Kashihara, MD. The University of Tokushima

Introduction
Laparoscopic surgery for colon cancer has been spread, but there are few reports about the significance of laparoscopic surgery for Stage IV colon cancer. The aim of this study was to investigate the significance of laparoscopic surgery for Stage IV colon cancer.

Methods
Eighty-two patients (stage0,I: n=55, stageIV: n=27) who underwent the operation for colorectal cancer were identified from April 2003. Thirteen patients with laparoscopic surgery (Lap group) for stageIV colorectal cancer were compared with fifty-five patients with laparoscopic surgery for stage0,I colorectal cancer and fourteen patients with open surgery (Open group) for stageIV colorectal cancer. Perioperative data including postoperative morbility were assessed between three groups.

Result
Mean age:69(±21)years, men/women:62/26, sigmoidectomy;18 cases, low anterior resection;21cases, rectal amputation;7cases.There was no difference between the three groups based on age, gender, BMI, tumor size, T stage, N stage, operative time(stage 0,I/ Open group/Lap group; 255/322/273min), operative complication(bleeding: one case each), postoperative mobility(anastomotic leakage; two cases, wound infection; 3 cases). There were tendencies between the two groups based on average amount of bleeding(stage 0,I /Lap group; 90/227ml), average length of hospital stay(stage 0,I /Lap group;21/33 days).

Conclusion
Laparoscopic surgery for Stage IV colorectal cancer is a safe and a feasible option for stageIV colorectal cancer.


Session: Poster
Program Number: P148
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