Sawazaki Sho, Numata Masakatsu, Morita Junya, Maezawa Yukio, Amano Shinya, Aoyama Toru, Tamagawa Hiroshi, Sato Tsutomu, Oshima Takashi, Mushiake Hiroyuki, Yukawa Norio, Shiozawa Manabu, Rino Yasushi, Masuda Munetaka
Department of Surgery, Yokohama City University, Yokohama, Japan
Department of Surgery, Yokohama City University, Yokohama, Japan.
Anticancer Res. 2018 Jun;38(6):3767-3772. doi: 10.21873/anticanres.12659.
BACKGROUND/AIM: Previous studies have shown that laparoscopic colorectal cancer surgery is highly safe and effective compared to laparotomy. However, whether laparoscopic colorectal cancer surgery can be safely performed in patients with severe comorbidities remains unclear. The aim of this study was to evaluate the safety of laparoscopic colorectal cancer surgery in patients with severe comorbidities.
A total of 82 consecutive patients with colorectal cancer who underwent laparoscopic surgery were retrospectively divided into two groups according to whether they had severe comorbidity (50 patients) or non-severe comorbidity (32 patients). An age-adjusted Charlson comorbidity index of ≥6 was defined as severe comorbidity.
Operative time, blood loss, and rate of conversion to laparotomy did not differ between the groups. Postoperative complications and the length of the postoperative hospital stay also did not differ significantly between the groups.
Laparoscopic colorectal cancer surgery is feasible and safe, even in patients with severe comorbidities.
背景/目的：既往研究表明，与开腹手术相比，腹腔镜结直肠癌手术具有高度的安全性和有效性。然而，严重合并症患者能否安全地进行腹腔镜结直肠癌手术仍不明确。本研究的目的是评估严重合并症患者行腹腔镜结直肠癌手术的安全性。
连续82例行腹腔镜手术的结直肠癌患者，根据是否患有严重合并症（50例）或非严重合并症（32例）进行回顾性分组。年龄校正的Charlson合并症指数≥6被定义为严重合并症。
两组之间的手术时间、失血量和中转开腹率无差异。两组之间的术后并发症和术后住院时间也无显著差异。
即使是严重合并症患者，腹腔镜结直肠癌手术也是可行且安全的。
