Comparison of hand‑assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution

  • Authors:
    • Takayuki Tajima
    • Masaya Mukai
    • Masashi Yamazaki
    • Shigeo  Higami
    • Souichirou Yamamoto
    • Sayuri Hasegawa
    • Eiji Nomura
    • Sotaro Sadahiro
    • Seiei Yasuda
    • Hiroyasu Makuuchi
  • View Affiliations

  • Published online on: May 27, 2014     https://doi.org/10.3892/ol.2014.2182
  • Pages: 627-632
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Abstract

The present study aimed to compare the results of hand‑assisted laparoscopic surgery (HALS) and conventional laparotomy (CL) at a single institution in Japan. Of the 212 patients with stage I/II/III colorectal cancer who received a curative resection, 98 patients underwent HALS and 114 patients underwent CL. The clinical background and post‑operative management did not differ between the two groups. There were no significant differences in the 3‑year relapse‑free and 3‑year overall survival rates between the HALS and CL groups for the patients in any stage. Blood loss during surgery was 250.1 and 135.5 ml (mean and median; the same hereafter) in stage I patients receiving HALS versus 608.2 and 315.5 ml in stage I CL patients (P=0.006), while it was 277.6 and 146 ml in stage II patients receiving HALS versus 548.6 and 347 ml in stage II CL patients (P=0.004). Post‑operative hospital stay was recorded at 16.8 and 15 days in stage III patients receiving HALS versus 23.1 and 21 days in stage III CL patients (P=0.001). There were no significant differences in the operating time or complications between the two groups. These results indicate that the survival rate was comparable for HALS and CL, while HALS caused less surgical stress and achieved a better cosmetic outcome. The results of the final analysis of this cohort are awaited.
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August-2014
Volume 8 Issue 2

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Tajima T, Mukai M, Yamazaki M, Higami S, Yamamoto S, Hasegawa S, Nomura E, Sadahiro S, Yasuda S, Makuuchi H, Makuuchi H, et al: Comparison of hand‑assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution. Oncol Lett 8: 627-632, 2014
APA
Tajima, T., Mukai, M., Yamazaki, M., Higami, S., Yamamoto, S., Hasegawa, S. ... Makuuchi, H. (2014). Comparison of hand‑assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution. Oncology Letters, 8, 627-632. https://doi.org/10.3892/ol.2014.2182
MLA
Tajima, T., Mukai, M., Yamazaki, M., Higami, S., Yamamoto, S., Hasegawa, S., Nomura, E., Sadahiro, S., Yasuda, S., Makuuchi, H."Comparison of hand‑assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution". Oncology Letters 8.2 (2014): 627-632.
Chicago
Tajima, T., Mukai, M., Yamazaki, M., Higami, S., Yamamoto, S., Hasegawa, S., Nomura, E., Sadahiro, S., Yasuda, S., Makuuchi, H."Comparison of hand‑assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution". Oncology Letters 8, no. 2 (2014): 627-632. https://doi.org/10.3892/ol.2014.2182