PMID- 31583312
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2432-3853 (Electronic)
IS  - 2432-3853 (Linking)
VI  - 1
IP  - 4
DP  - 2017
TI  - Short- and long-term outcomes following laparoscopic palliative resection for 
      patients with incurable, asymptomatic stage IV colorectal cancer: A multicenter 
      study in Japan.
PG  - 125-130
LID - 10.23922/jarc.2017-012 [doi]
AB  - OBJECTIVE: This retrospective multicenter study compared short- and long-term 
      results between Japanese patients with asymptomatic stage IV colorectal cancer 
      who underwent palliative laparoscopic surgery (LS) versus those who underwent 
      conventional open surgery (OS). METHODS: Among 968 patients treated for stage IV 
      colorectal cancer from January 2006 to December 2007 in 41 surgical units that 
      were participating in the Japan Society of Laparoscopic Colorectal Surgery group, 
      we studied 398 patients who received palliative resection of their asymptomatic 
      primary colorectal tumor. RESULTS: We analyzed data from patients undergoing LS 
      (LS group, n=106) and OS (OS group, n=292). Fourteen (13.2%) LS group patients 
      were converted to OS. Although the differences between groups for postoperative 
      complications were not significant, the mean time to solid food intake and 
      postoperative length of hospital stay for the LS group were significantly shorter 
      than those for the OS group (2 vs. 3 days, p<0.0001; 13 vs. 16 days, p<0.0001, 
      respectively). The LS group patients experienced a longer median survival time 
      than that of the OS group (24.5 vs. 23.9 months, p=0.0357). CONCLUSIONS: 
      Laparoscopic palliative resection (LS) offers advantages for short-term outcomes 
      and no disadvantages for long-term outcomes. The use of laparoscopic procedures 
      to treat asymptomatic, incurable stage IV colorectal cancer appears to be 
      acceptable.
CI  - Copyright (c) 2017 by The Japan Society of Coloproctology.
FAU - Akagi, Tomonori
AU  - Akagi T
AD  - Department of Gastroenterological & Pediatric Surgery, Oita University Faculty of 
      Medicine, Oita, Japan.
FAU - Inomata, Masafumi
AU  - Inomata M
AD  - Department of Gastroenterological & Pediatric Surgery, Oita University Faculty of 
      Medicine, Oita, Japan.
FAU - Hasegawa, Suguru
AU  - Hasegawa S
AD  - Department of Surgery, Kyoto University, Kyoto, Japan.
FAU - Kinjo, Yousuke
AU  - Kinjo Y
AD  - Department of Surgery, Kyoto University, Kyoto, Japan.
FAU - Ito, Masaaki
AU  - Ito M
AD  - Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital 
      East, Chiba, Japan.
FAU - Fukunaga, Yosuke
AU  - Fukunaga Y
AD  - Department of Gastroenterological Surgery, Cancer Institute Hospital, Tokyo, 
      Japan.
FAU - Kanazawa, Akiyoshi
AU  - Kanazawa A
AD  - Department of Gastroenterology, Osaka Red Cross Hospital, Osaka, Japan.
FAU - Idani, Hitoshi
AU  - Idani H
AD  - Department of Surgery, Fukuyama City Hospital, Fukuyama, Japan.
FAU - Yamamoto, Seiichiro
AU  - Yamamoto S
AD  - Division of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.
FAU - Otsuka, Koki
AU  - Otsuka K
AD  - Department of Surgery, Iwate Medical University, Iwate, Japan.
FAU - Endo, Shungo
AU  - Endo S
AD  - Department of Surgery, Showa University School of Medicine, Yokohama Northern 
      Hospital, Yokohama, Japan.
FAU - Watanabe, Masahiko
AU  - Watanabe M
AD  - Department of Surgery, Kitasato University, Sagamihara, Japan.
CN  - Japan Society of Laparoscopic Colorectal Surgery
LA  - eng
PT  - Journal Article
DEP - 20180525
PL  - Japan
TA  - J Anus Rectum Colon
JT  - Journal of the anus, rectum and colon
JID - 101718055
PMC - PMC6768683
OTO - NOTNLM
OT  - asymptomatic
OT  - colorectal cancer
OT  - incurable
OT  - laparoscopic palliative resection
OT  - multicenter study
COIS- Conflicts of Interest There are no conflicts of interest.
EDAT- 2018/05/25 00:00
MHDA- 2018/05/25 00:01
PMCR- 2018/05/25
CRDT- 2019/10/05 06:00
PHST- 2017/03/24 00:00 [received]
PHST- 2017/07/20 00:00 [accepted]
PHST- 2019/10/05 06:00 [entrez]
PHST- 2018/05/25 00:00 [pubmed]
PHST- 2018/05/25 00:01 [medline]
PHST- 2018/05/25 00:00 [pmc-release]
AID - 10.23922/jarc.2017-012 [doi]
PST - epublish
SO  - J Anus Rectum Colon. 2018 May 25;1(4):125-130. doi: 10.23922/jarc.2017-012. 
      eCollection 2017.