Laparoscopic Surgery in Colorectal Cancers: Experience with 118 Patients At Single Institution

INTRODUCTION: The aim of this study was to evaluate the results of patients laparoscopically treated for colorectal cancer at single institution (Surugadai Nihon University Hospital).
PATIENTS AND METHODS: Between February 2005 and August 2009, 118 consecutive patients who had laparoscope-assisted resection due to colorectal cancer were evaluated retrospectively. Demographic data, such as age, gender and body mass index (BMI) were reviewed along with tumor localizations, intraoperative findings and postoperative complications.
RESULTS: The population consisted of 47 females and 71 males with median age of 68 years (range 36-88) and median BMI of 23.2 (range 16.2-29.1). Tumor localizations were: right colon (n=38, 32.5%), transverse colon (n=12, 10.3%), left colon (n=4, 3.4%), sigmoid colon (n=29, 24.7%) and rectum (n=34, 29.0%). Nine additional procedures were performed laparoscopically; cholecystectomy (n=5), partial resection of liver (n=2), and ventral hernia repair (n=2). Median duration of operation was 173 minutes (range 73-415). Median estimated blood loss was 68 ml (range 1-775). The conversion rate was 1.7% (2/118). Median postoperative hospital stay was 12 days (5-61). Overall, 14 complications occurred including 4 wound infections, 3 postoperative anastomotic bleeding, 3 ileus, and 1 atelectasis. There was no anastomotic leak. There was no postoperative mortality.
CONCLUSION: Laparoscopic treatment of colorectal cancer is a safe procedure providing general benefits such as low volume of blood loss, low incidence of complication, short postoperative hospital stay and early return to daily activities.

Session: Poster

Program Number: P117

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