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International Journal of Colorectal Disease

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01-08-2008 | Original Article

Detailed evaluation of functional recovery following laparoscopic or open surgery for colorectal cancer within an enhanced recovery programme

Authors: P. M. King, J. M. Blazeby, P. Ewings, R. H. Kennedy

Published in: International Journal of Colorectal Disease | Issue 8/2008

Abstract

Background and aims

Evidence demonstrating improved short-term outcomes with laparoscopic surgery compared with open surgery for colorectal cancer is accumulating. In addition, programmes optimising peri-operative care for major abdominal surgery are becoming widespread. Evaluating laparoscopic surgery and enhanced recovery programmes usually focuses on short-term recovery. The aim of this study was to compare recovery after laparoscopic and open surgery for colorectal cancer up to 1 year post-operatively, using a combination of self-report and observer data.

Patients/Methods

From January 2002 to March 2004, 62 patients were randomised (2:1) to receive laparoscopic (n = 43) or open surgery (n = 19) within an enhanced recovery programme. Functional outcomes up to 1 year were assessed using interview-administered questionnaires.

Results/Findings

Questionnaire and health-related quality of life data were obtained in over 85% of patients. Patients undergoing laparoscopic surgery felt fully recovered and resumed driving more quickly than those having open surgery (p = 0.016 and p = 0.048 respectively). Fifty-eight percent of patients having open surgery felt fully recovered by 12 months versus 88% of laparoscopic patients.

Interpretation/Conclusion

Within an enhanced recovery programme, patients undergoing laparoscopic surgery recovered more quickly than after open resection. Both approaches however, were associated with slow recovery despite a relatively short hospital stay.

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Title: Detailed evaluation of functional recovery following laparoscopic or open surgery for colorectal cancer within an enhanced recovery programme
Authors: P. M. King
J. M. Blazeby
P. Ewings
R. H. Kennedy
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 8/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-008-0478-0

At a glance: The STEP trials

Springer Medicine

Detailed evaluation of functional recovery following laparoscopic or open surgery for colorectal cancer within an enhanced recovery programme

Abstract

Background and aims

Patients/Methods

Results/Findings

Interpretation/Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background and aims

Patients/Methods

Results/Findings

Interpretation/Conclusion

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