Long-term outcomes of laparoscopic surgery for colorectal cancer

Jeong Eun Lee, Yong Geul Joh, Sang Hwa Yoo, Geu Young Jeong, Sung Han Kim, Choon Sik Chung, Dong Gun Lee, Seon Hahn Kim

Research output: Contribution to journalArticle

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Abstract

Purpose: The long-term results of a laparoscopic resection for colorectal cancer have been reported in several studies, but reports on the results of laparoscopic surgery for rectal cancer are limited. We investigated the long-term outcomes, including the five-year overall survival, disease-free survival and recurrence rate, after a laparoscopic resection for colorectal cancer. Methods: Using prospectively collected data on 303 patients with colorectal cancer who underwent a laparoscopic resection between January 2001, and December 2003, we analyzed sex, age, stage, complications, hospital stay, mean operation time and blood loss. The overall survival rate, disease-free survival rate and recurrence rate were investigated for 271 patients who could be followed for more than three years. Results: Tumor-node-metastasis (TNM) stage I cancer was present in 55 patients (18.1%), stage II in 116 patients (38.3%), stage III in 110 patients (36.3%), and stage IV in 22 patients (7.3%). The mean operative time was 200 minutes (range, 100 to 535 minutes), and the mean blood loss was 97 mL (range, 20 to 1,200 mL). The mean hospital stay was 11 days and the mean follow-up period was 54 months. The mean numbers of resected lymph nodes were 26 and 21 in the colon and the rectum, respectively, and the mean distal margins were 10 and 3 cm. The overall morbidity rate was 26.1%. The local recurrence rates were 2.2% and 4.4% in the colon and the rectum, respectively, and the distant recurrence rates were 7.8% and 22.5%. The five-year overall survival rates were 86.1% in the colon (stage I, 100%; stage II, 97.6%; stage III, 77.5%; stage IV, 16.7%) and 68.8% in the rectum (stage I, 90.2%; stage II, 84.0%; stage III, 57.6; stage IV, 13.3%). The five-year disease-free survival rates were 89.8% in the colon (stage I, 100%; stage II, 97.7%; stage III, 74.2%) and 74.5% in the rectum (stage I, 90.0%; stage II, 83.9%; stage III, 59.2%). Conclusion: Laparoscopic surgery for colorectal cancer is a good alternative method to open surgery with tolerable oncologic long-term results.

Original languageEnglish
Pages (from-to)64-70
Number of pages7
JournalJournal of the Korean Society of Coloproctology
Volume27
Issue number2
DOIs
Publication statusPublished - 2011 Apr 1

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Laparoscopy
Colorectal Neoplasms
Survival Rate
Rectum
Colon
Disease-Free Survival
Recurrence
Length of Stay
Rectal Neoplasms
Operative Time
Neoplasms
Lymph Nodes
Neoplasm Metastasis
Morbidity
Survival

Keywords

  • Colorectal neoplasms
  • Laparoscopy
  • Long-term outcome

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Long-term outcomes of laparoscopic surgery for colorectal cancer. / Lee, Jeong Eun; Joh, Yong Geul; Yoo, Sang Hwa; Jeong, Geu Young; Kim, Sung Han; Chung, Choon Sik; Lee, Dong Gun; Kim, Seon Hahn.

In: Journal of the Korean Society of Coloproctology, Vol. 27, No. 2, 01.04.2011, p. 64-70.

Research output: Contribution to journalArticle

Lee, Jeong Eun ; Joh, Yong Geul ; Yoo, Sang Hwa ; Jeong, Geu Young ; Kim, Sung Han ; Chung, Choon Sik ; Lee, Dong Gun ; Kim, Seon Hahn. / Long-term outcomes of laparoscopic surgery for colorectal cancer. In: Journal of the Korean Society of Coloproctology. 2011 ; Vol. 27, No. 2. pp. 64-70.
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AU - Joh, Yong Geul

AU - Yoo, Sang Hwa

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AU - Chung, Choon Sik

AU - Lee, Dong Gun

AU - Kim, Seon Hahn

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N2 - Purpose: The long-term results of a laparoscopic resection for colorectal cancer have been reported in several studies, but reports on the results of laparoscopic surgery for rectal cancer are limited. We investigated the long-term outcomes, including the five-year overall survival, disease-free survival and recurrence rate, after a laparoscopic resection for colorectal cancer. Methods: Using prospectively collected data on 303 patients with colorectal cancer who underwent a laparoscopic resection between January 2001, and December 2003, we analyzed sex, age, stage, complications, hospital stay, mean operation time and blood loss. The overall survival rate, disease-free survival rate and recurrence rate were investigated for 271 patients who could be followed for more than three years. Results: Tumor-node-metastasis (TNM) stage I cancer was present in 55 patients (18.1%), stage II in 116 patients (38.3%), stage III in 110 patients (36.3%), and stage IV in 22 patients (7.3%). The mean operative time was 200 minutes (range, 100 to 535 minutes), and the mean blood loss was 97 mL (range, 20 to 1,200 mL). The mean hospital stay was 11 days and the mean follow-up period was 54 months. The mean numbers of resected lymph nodes were 26 and 21 in the colon and the rectum, respectively, and the mean distal margins were 10 and 3 cm. The overall morbidity rate was 26.1%. The local recurrence rates were 2.2% and 4.4% in the colon and the rectum, respectively, and the distant recurrence rates were 7.8% and 22.5%. The five-year overall survival rates were 86.1% in the colon (stage I, 100%; stage II, 97.6%; stage III, 77.5%; stage IV, 16.7%) and 68.8% in the rectum (stage I, 90.2%; stage II, 84.0%; stage III, 57.6; stage IV, 13.3%). The five-year disease-free survival rates were 89.8% in the colon (stage I, 100%; stage II, 97.7%; stage III, 74.2%) and 74.5% in the rectum (stage I, 90.0%; stage II, 83.9%; stage III, 59.2%). Conclusion: Laparoscopic surgery for colorectal cancer is a good alternative method to open surgery with tolerable oncologic long-term results.

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