Abstract | BACKGROUND/AIMS: Although laparoscopic colectomy has been widely accepted, little is known about the subjective clinical results of this less invasive surgery. The aim of this study was to evaluate the quality of life of patients who had undergone laparoscopic or open colonic resection for cancer. METHODOLOGY: RESULTS: Laparoscopic colectomy was significantly different from open colectomy with regard to the body temperature (37.8 degrees C vs. 38.0 degrees C, p < 0.01) and C-reactive protein level (6.34 mg/dL vs. 11.15 mg/dL, p < 0.01) on postoperative day 1, albumin level (3.54 g/dL vs. 3.36 g/dL, p < 0.05) and lymphocyte count (1354/mm3 vs. 995/mm3, p < 0.01) on postoperative day 7, and weight loss on postoperative day 14 (3.95% vs. 5.45%, p < 0.01). Although all patients with laparoscopic colectomy were satisfied with their surgical results, total score of the quality-of-life questionnaire was not significantly different between the two groups (10.95 vs. 11.81). Both laparoscopic and open colonic resections were similarly accepted by the patients as a good operation that they would recommend to others (1.105 vs. 1.206). CONCLUSIONS: These results indicate that although laparoscopic colonic resection for cancer was less invasive than conventional open colectomy, both laparoscopic and open colonic resections were favorably accepted by the patients, and quality of life after operation was not significantly different between the two procedures.
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Authors | Yosuke Adachi, Koichi Sato, Kenji Kakisako, Masafumi Inomata, Norio Shiraishi, Seigo Kitano |
Journal | Hepato-gastroenterology
(Hepatogastroenterology)
2003 Sep-Oct
Vol. 50
Issue 53
Pg. 1348-51
ISSN: 0172-6390 [Print] Greece |
PMID | 14571735
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Colectomy
(methods)
- Colonic Neoplasms
(surgery)
- Female
- Humans
- Laparoscopy
- Male
- Middle Aged
- Quality of Life
- Retrospective Studies
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