Outcome following laparoscopic resection for colorectal cancer

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Abstract
Background: A prospective comparison of laparoscopic or laparoscopically assisted colorectal resection versus open resection has been undertaken to evaluate early benefits and cost implications. Methods: Consecutive patients with colorectal cancer underwent either elective laparoscopic (n = 25) or open (n = 29) resection. Results: Mean hospital stay was significantly shorter in the laparoscopic group: 10·7 versus 17·8 days. Mean morphine requirements were less in patients who had laparoscopic resection and their recovery, as measured by the dynamometer hand grip and the SF-36 symptom score, was more rapid. Adequate tumour clearance was achieved in the laparoscopic group. In both groups, the number of lymph nodes harvested was similar. Port-site or wound recurrence has not been observed at a median follow-up of 28 months. Conclusion: When laparoscopic colorectal resection is possible, there are significant early benefits for patients.

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