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Published in: Surgery Today 12/2016

01-12-2016 | Original Article

Open surgery versus laparoscopic surgery after stent insertion for obstructive colorectal cancer

Authors: Toshiyuki Enomoto, Yoshihisa Saida, Kazuhiro Takabayashi, Sayaka Nagao, Emiko Takeshita, Ryohei Watanabe, Asako Takahashi, Yoichi Nakamura, Koji Asai, Manabu Watanebe, Jiro Nagao, Shinya Kusachi

Published in: Surgery Today | Issue 12/2016

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Abstract

Purpose

To compare the outcomes of laparoscopic surgery vs. open surgery after insertion of a colonic stent for obstructive colorectal cancer.

Methods

Between April 2005 and August 2013, 58 patients underwent surgery after the insertion of a colonic stent for obstructive colorectal cancer. We analyzed the outcomes of the patients who underwent laparoscopic surgery vs. those who underwent open surgery.

Results

We compared blood loss, operative time, hospital stay, and complications in 26 patients who underwent laparoscopic surgery and 32 patients who underwent open surgery. Blood loss was significantly less in the laparoscopic surgery group, but operative time was significantly shorter in the open surgery group. The length of hospital stay was shorter in the laparoscopic surgery group than in the open surgery group, but the difference was not significant. There was no significant difference in postoperative surgical complications between the groups.

Conclusion

The patients who underwent laparoscopic resection had less blood loss, although no significant difference was found in postoperative morbidity or mortality. Thus, laparoscopic resection after stent insertion is a feasible and safe option for patients with obstructive colorectal cancer.
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Metadata
Title
Open surgery versus laparoscopic surgery after stent insertion for obstructive colorectal cancer
Authors
Toshiyuki Enomoto
Yoshihisa Saida
Kazuhiro Takabayashi
Sayaka Nagao
Emiko Takeshita
Ryohei Watanabe
Asako Takahashi
Yoichi Nakamura
Koji Asai
Manabu Watanebe
Jiro Nagao
Shinya Kusachi
Publication date
01-12-2016
Publisher
Springer Japan
Published in
Surgery Today / Issue 12/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-016-1331-7

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