%0 Journal Article
%T Laparoscopic versus Open Surgery for Colorectal Cancer: A Retrospective Analysis of 163 Patients in a Single Institution
%A Abdulkadir Bedirli
%A Bulent Salman
%A Osman Yuksel
%J Minimally Invasive Surgery
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/530314
%X Background. The present study aimed to compare the clinical outcomes of laparoscopic versus open surgery for colorectal cancers. Materials and Methods. The medical records from a total of 163 patients who underwent surgery for colorectal cancers were retrospectively analyzed. Patient¡¯s demographic data, operative details and postoperative early outcomes, outpatient follow-up, pathologic results, and stages of the cancer were reviewed from the database. Results. The patients who underwent laparoscopic surgery showed significant advantages due to the minimally invasive nature of the surgery compared with those who underwent open surgery, namely, less blood loss, faster postoperative recovery, and shorter postoperative hospital stay (). However, laparoscopic surgery for colorectal cancer resulted in a longer operative time compared with open surgery (). There were no statistically significant differences between groups for medical complications (). Open surgery resulted in more incisional infections and postoperative ileus compared with laparoscopic surgery (). There were no differences in the pathologic parameters between two groups (). Conclusions. These findings indicated that laparoscopic surgery for colorectal cancer had the clear advantages of a minimally invasive surgery and relative disadvantage with longer surgery time and exhibited similar pathologic parameters compared with open surgery. 1. Introduction Colorectal cancer remains the third most common cancer diagnosed and the third most common cause of cancer death in both sexes in industrialized nations [1]. Although many studies have suggested that laparoscopic surgery is superior to open surgery, the acceptance of this technique for colorectal cancer has been rather slow in clinical practice [2, 3]. One of the reasons for the low penetration of this procedure is laparoscopic colon resections which are technically demanding procedures and as such were initially prohibitive for the majority of surgeons [4]. To successfully complete each component of the operation (mobilization of colon, dissection and division of major vessels, removing the specimen, and anastomosis), the surgeon must possess advanced laparoscopic skills, including the ability to operate and recognize anatomy from multiple viewpoints [5]. Concerning the oncologic safety of the laparoscopic approach to colorectal cancers, multiple randomized controlled studies demonstrated that oncological outcomes of laparoscopic surgery were similar to open surgery [6, 7]. The benefits of laparoscopic colorectal surgery are seen in terms of
%U http://www.hindawi.com/journals/mis/2014/530314/