Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center

  • Authors:
    • Takayuki Tajima
    • Masaya Mukai
    • Daiki Yokoyama
    • Shigeo Higami
    • Shuji Uda
    • Sayuri Hasegawa
    • Eiji Nomura
    • Sotaro Sadahiro
    • Seiei Yasuda
    • Hiroyasu Makuuchi
  • View Affiliations

  • Published online on: April 13, 2017     https://doi.org/10.3892/ol.2017.6035
  • Pages: 4953-4958
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Abstract

In recent years, the use of laparoscopic surgery has been expanded to include radical curative resection. In a previous study, 212 patients with primary colorectal cancer (stages I‑III) underwent radical curative resection by hand‑assisted laparoscopic surgery (HALS) (n=98) or conventional laparotomy (CL) (n=114) and were compared with respect to 3‑year relapse‑free survival (3Y‑RFS) and 3‑year overall survival (3Y‑OS). The study included 210/212 patients who were followed up to 5 years, including 96 patients who underwent HALS and 114 treated with CL. The two groups were matched for stage, clinical background, and postoperative management. Patient characteristics were compared and the 5Y‑RFS and 5Y‑OS were determined. The 5‑year follow‑up rate was 97.6%. In stage I‑III patients, 5Y‑RFS and 5Y‑OS showed no significant differences between HALS and CL. The patients with stage I disease accounted for 41.7% (40/96) of the patients undergoing HALS, while stage I patients only accounted for 23.7% (27/114) of the patients undergoing CL, and the difference was significant (P=0.005). Stage II patients undergoing CL were older than those treated with HALS (P=0.017). However, there were no differences in the characteristics of stage III patients undergoing HALS or CL. In conclusion, HALS achieved a similar survival to CL in patients with stage I to III colorectal cancer. Compared with CL, HALS was performed more safely and achieved superior cosmetic results.
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June-2017
Volume 13 Issue 6

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

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Spandidos Publications style
Tajima T, Mukai M, Yokoyama D, Higami S, Uda S, Hasegawa S, Nomura E, Sadahiro S, Yasuda S, Makuuchi H, Makuuchi H, et al: Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center. Oncol Lett 13: 4953-4958, 2017
APA
Tajima, T., Mukai, M., Yokoyama, D., Higami, S., Uda, S., Hasegawa, S. ... Makuuchi, H. (2017). Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center. Oncology Letters, 13, 4953-4958. https://doi.org/10.3892/ol.2017.6035
MLA
Tajima, T., Mukai, M., Yokoyama, D., Higami, S., Uda, S., Hasegawa, S., Nomura, E., Sadahiro, S., Yasuda, S., Makuuchi, H."Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center". Oncology Letters 13.6 (2017): 4953-4958.
Chicago
Tajima, T., Mukai, M., Yokoyama, D., Higami, S., Uda, S., Hasegawa, S., Nomura, E., Sadahiro, S., Yasuda, S., Makuuchi, H."Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center". Oncology Letters 13, no. 6 (2017): 4953-4958. https://doi.org/10.3892/ol.2017.6035