A retrospective study of the effect of abdominal surgery on laparoscopic colorectal cancer
Hu Chen;Zhu Xuanjing;Huang Yong;Guizhou Medical University;
Objective To investigate the effect of laparoscopic surgery on patients with colorectal cancer who had a prior history of abdominal surgery and the feasibility and safety of laparoscopy in the treatment of patients with colorectal cancer who had a previous history of abdominal surgery.Methods The clinical data of 424 patients with colorectal cancer who underwent laparoscopic colorectal surgery and laparotomy who had a history of abdominal surgery,admitted at the General Surgery Department of Guangzhou Red Cross Hospital from January 2006 to January 2014 were retrospectively analyzed.The basic clinical data,surgical indicators(operation time,intraoperative blood loss),pathological data,days of postoperative hospital stay and early postoperative complications were compared between the two groups.Results The clinicopathological results and early postoperative complications had no significant difference between laparoscopic group and open surgery group(P0.05).The operative time in laparoscopic group was significantly longer than that in the open surgery group(P=0.003).The blood loss in laparoscopic group was significantly less than that in open surgery group(P=0.001).The postoperative hospital stay in laparoscopic group was significantly shorter than that in open surgery group(P=0.001).The incidence of postoperative complications(anastomotic bleeding,anastomotic leakage,postoperative intestinal obstruction,wound infection,abdominal infections,etc.)showed no statistically significant difference between two groups(P=0.885).The main reason for transit was adhesions,followed by tumor diameter5 cm and difficult exposure of the tumor.Conclusions The previous history of abdominal surgery has no significant effect on laparoscopic colorectal cancer surgery.Laparoscopic colorectal cancer surgery is safe and feasible in patients with previous history of abdominal surgery.
【CateGory Index】： R735.34