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No advantages of laparoscopy for left-sided malignant colonic obstruction compared with open colorectal resection in both short-term and long-term outcomes

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Abstract

Left-sided malignant colonic obstruction is one of the most difficult clinical problems; however, no studies compared the two most common used surgical approach laparoscopic and open colorectomy till now. The purpose of this study was to investigate the short- and long-term outcomes of laparoscopy and open colorectomy for left-sided malignant colonic obstruction. A total of 193 colorectal carcinoma patients (55 patients who underwent laparoscopic colorectomy and 138 who underwent open colorectomy) with left-sided colonic obstruction and surgical therapy, between May 2007 and March 2012, are included in the study. The short-term and long-term outcomes including curative resection rate, hospital stay time, complications, 1-, 3- and 5-year survival rates and recurrence rate, as well as recurrence-free survival rate were analyzed retrospectively. No significant difference was found between the laparoscopic and open groups about the short-term outcomes, such as the curative resection rate (81.82 vs. 78.99 %, P = 0.658), hospital stay time (24.22 ± 17.09 vs. 24.19 ± 14.76 day, P = 0.990), the overall and respective complications (32.73 vs. 39.63 %, P = 0.674). Long-term outcomes, including 1-, 3- and 5-year survival rates (P = 0.518), recurrence rates (P = 0.320), and recurrence-free survival rates (P = 0.988), were also indicated no significant differences between the two patient groups. Laparoscopy might not have advantages on left-sided malignant colonic obstruction compared with open colorectal resection in both short-term and long-term outcomes.

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Acknowledgments

The authors thank the Sixth Affiliated Hospital of Sun Yat-Sen University for technical assistance during this study, and Dr. Lei Lian for the data collection. This work was financially supported by the National Natural Science Foundation of China (Nos. 81100255 & 81370480), and the foundation of New Star of Zhujiang Science and Technology Foundation (No. 2013J2200023).

Conflict of interest

All authors have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Gastrointestinal Institute of Sun Yat-Sen University, Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University (Guangdong Gastrointestinal Hospital), 26 Yuancun Erheng Road, Guangzhou, Guangdong, 510655, People’s Republic of China

    Zhihua Liu, Liang Kang, Meijin Huang, Chao Li, Chao Tong, Xingwei Zhang, Lei Wang & Jianping Wang

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  1. Zhihua Liu
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  2. Liang Kang
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  3. Meijin Huang
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  4. Chao Li
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  5. Chao Tong
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  6. Xingwei Zhang
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  7. Lei Wang
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  8. Jianping Wang
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Corresponding author

Correspondence to Jianping Wang.

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Zhihua Liu, Liang Kang, and Meijin Huang are co-first authors.

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Liu, Z., Kang, L., Huang, M. et al. No advantages of laparoscopy for left-sided malignant colonic obstruction compared with open colorectal resection in both short-term and long-term outcomes. Med Oncol 31, 213 (2014). https://doi.org/10.1007/s12032-014-0213-3

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  • DOI: https://doi.org/10.1007/s12032-014-0213-3

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