Outcome following laparoscopic resection for colorectal cancer.

Abstract

A prospective comparison of laparoscopic or laparoscopically assisted colorectal resection versus open resection has been undertaken to evaluate early benefits and cost implications. Consecutive patients with colorectal cancer underwent either elective laparoscopic (n = 25) or open (n = 29) resection. 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. When laparoscopic colorectal resection is possible, there are significant early benefits for patients.