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Outcome following laparoscopic resection for colorectal cancer
J Psaila1, S H Bulley, P Ewings
1Yeovil District Hospital, Higher Kingston, UK.
Background:
A prospective comparison of laparoscopic or laparoscopically assisted colorectal resection versus open resection has been undertaken to evaluate early benefits and cost implications.
Methods:
Consecutive patients with colorectal cancer underwent either elective laparoscopic (n = 25) or open (n = 29) resection.
Results:
Mean hospital stay was significantly shorter in the laparoscopic group: 10.7 versus 17.8 days. Mean morphine requirements were less in patients who had laparoscopic resection and their recovery, as measured by the dynamometer hand grip and the SF-36 symptom score, was more rapid. Adequate tumour clearance was achieved in the laparoscopic group. In both groups, the number of lymph nodes harvested was similar. Port-site or wound recurrence has not been observed at a median follow-up of 28 months.
Conclusion:
When laparoscopic colorectal resection is possible, there are significant early benefits for patients.