Article

Clinical outcome of open and laparoscopic surgery in Dukes' B and C rectal cancer: experience from a regional hospital in Hong Kong.

Department of Surgery, Kwong Wah Hospital, 25 Waterloo Road, Hong Kong.
Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine 02/2011; 17(1):26-32. pp.26-32
Source: PubMed

ABSTRACT To compare the long-term outcome of open and laparoscopic surgery for Dukes' B and C rectal cancer in a regional hospital in Hong Kong.
Retrospective study.
A regional hospital in Hong Kong.
Survival and local recurrence rates.
Patients with Dukes' B and C rectal cancers underwent elective curative open or laparoscopic surgery during the period December 2000 to December 2006.
A total of 222 patients (open surgery, n=133; laparoscopic surgery, n=89) were assessed. The overall 3- and 5-year survival rates for all patients were 72% and 58%, respectively. Local recurrence rates were similar in both groups. Laparoscopic group had better overall survival (P=0.014), however. The overall 3-year survival rates were 79% and 68% in the laparoscopic and open groups, respectively. The corresponding 5-year rates were 75% and 52%. Multivariate analysis also demonstrated that laparoscopic surgery was a significant independent factor for better survival. Chemotherapy, local recurrence, lymph node metastasis, and poorly differentiated tumour were significantly associated with survival.
Laparoscopic surgery for Dukes' B and C rectal cancer was associated with more favourable survival than with open surgery.

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Keywords

3-year survival rates
 
5-year survival rates
 
C rectal cancer
 
C rectal cancers
 
corresponding 5-year rates
 
elective curative open
 
favourable survival
 
Hong Kong
 
Laparoscopic group
 
laparoscopic surgery
 
local recurrence
 
Local recurrence rates
 
long-term outcome
 
lymph node metastasis
 
open surgery
 
period December 2000
 
poorly differentiated tumour
 
regional hospital
 
Retrospective study
 
significant independent factor