Clinical comparative study of laparoscopic and traditional colorectal carcinoma surgery

Objective:To explore the feasibility of laparoscopic colorectal cancer radical operation.Methods:Twenty-one patients who underwent laparoscopic colorectal carcinoma operation and 25 patients who underwent open operation from Apr.2004 to Oct.2009 were included.The clinical data of patients in two groups were compared,and technical features of laparoscopic operation were summarized.Results:Two patients(9.5%) were converted to open surgery in laparoscopic group.Intraoperative blood loss was less in laparoscopic group than that in traditional open surgery group [(90±25)ml vs.(150±40)ml,P0.05].Bowel function restoration time was significantly shorter in laparoscopic group than that in open group [(2.4±1.0)d vs.(3.6±1.8)d,P0.05].Hospital stay was shorter in laparoscopic group[(13.5±4.2)d vs.(17.6±5.8)d,P0.05].Hospitalization total costs were higher in laparoscopic group than that in open group.The operative complications were less in laparoscopic group(2 vs.7,P0.05).But no significant differences were detected between two groups in mean operative time,removed tumor size and lymph node harvest(P0.05).There were no significant differences between two groups in local recurrence,metastasis rate and mortality during follow-up(P0.05).Conclusions:Laparoscopic colorectal cancer radical operation is safe,feasible and worthy of generalization.