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Comparing Recurrence and Complications After Laparoscopy and Laparotomy Surgery among Patients Suffering from Colorectal Cancer, Shiraz, Iran

  • Ghaem, Haleh (Research Center for Health Sciences, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences) ;
  • Amiri, Zahra (Student Research Committee, Shiraz University of Medical Sciences) ;
  • Kianpour, Fatemeh (Student Research Committee, Shiraz University of Medical Sciences) ;
  • Rezaianzadeh, Abbas (Colorectal Research Center, Shiraz University of Medical Sciences) ;
  • Hosseini, Seyed Vahid (Colorectal Research Center, Shiraz University of Medical Sciences) ;
  • Khazraei, Hajar (Colorectal Research Center, Shiraz University of Medical Sciences)
  • Published : 2016.07.01

Abstract

Background: The goal of this study was to compare the rate of recurrence and occurrence of complications in colorectal cancer patients after two kinds of laparoscopy and laparotomy. Materials and Methods: A follow-up study was carried out among 358 patients who suffered from colorectal cancer from 2012-2014. The data were gathered from colorectal research center in Shiraz, Shahid Faghihi hospital, and analyzed using the chi-square test, logistic regression, and multinomial regression. Results: The average age of these patients was $56.3{\pm}14.6$, 55.0% being men. Moreover, 57.8% of them underwent laparoscopy surgery and 42.2% of the patients underwent laparotomysurgery and the conversion rate was 58.0% which ultimately was put under the category of laparotomy surgery. After biennial median follow-up, differences in the occurrence of complications such as bleeding (hemorrhage), fever, intestine blockage and wound infection in these two kinds of surgery werestatistically significant (P<0.05). However, the rate of recurrence and the patients' ultimate status (alive without disease, alive with disease, and death) did not significantly differ between these two surgery groups. Conclusions: Post-operation complications were laparoscopy surgery were less than those in laparotomy. However, the outcomes such as patients' ultimate status and recurrence were similar between the two groups.

Keywords

Colorectal cancer;recurrence;complications;laparoscopy;laparotomy;Iran

Acknowledgement

Supported by : Shiraz University of Medical Sciences

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