Propensity score-matched study of laparoscopic and open surgery for colorectal cancer in rural hospitals
Background and Aim Various randomized clinical studies have suggested that short‐ and long‐term outcomes of laparoscopic surgery (LAP) for colorectal cancer are comparable with those of open surgery (OP). However, these studies were performed in high‐volume hospitals. The aim of the present study wa...
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| Veröffentlicht in: | Journal of gastroenterology and hepatology 2016-10, Vol.31 (10), p.1700-1704 |
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| container_title | Journal of gastroenterology and hepatology |
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| creator | Nakao, Toshihiro Shimada, Mitsuo Yoshikawa, Kozo Higashijima, Jun Tokunaga, Takuya Nishi, Masaaki Takasu, Chie Kashihara, Hideya Suzuka, Ichio Nishizaki, Takashi Okitsu, Hiroshi Yagi, Toshiyuki Miyake, Hidenori Miura, Murato Fukuyama, Mitsutoshi Wada, Daisuke Bando, Yoshiaki |
| description | Background and Aim
Various randomized clinical studies have suggested that short‐ and long‐term outcomes of laparoscopic surgery (LAP) for colorectal cancer are comparable with those of open surgery (OP). However, these studies were performed in high‐volume hospitals. The aim of the present study was to compare the outcomes of LAP versus OP for colorectal cancer in rural hospitals.
Methods
This was a multicenter retrospective propensity score‐matched case–control study of patients who underwent colorectal surgery from January 2004 to April 2009 in 10 hospitals in Japan. All patients underwent curative surgery for pathologically diagnosed stage II or III colorectal cancer. The primary end point was 5‐year overall survival (OS). The secondary end points were disease‐free survival (DFS) and postoperative complications.
Results
In total, 319 patients who underwent LAP and 1020 patients who underwent OP were balanced to 261 pairs. There was no significant difference in the OS and DFS between two groups. The operation time was significantly shorter for OP than for LAP. Blood loss was significantly lower in LAP than in OP. There was no difference in intraoperative morbidity between the two groups. The postoperative morbidity was significantly lower in LAP than in OP. The hospital stay was significantly shorter in LAP than in OP. There was no significant difference in 90‐day postoperative mortality.
Conclusions
Laparoscopic surgery may be a feasible option for colorectal cancer in rural hospitals. |
| doi_str_mv | 10.1111/jgh.13322 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837295406</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1837295406</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4622-84d47aef86ba8edb1cb1a3dfd9e597c5169cb5cfa943d70dc92dd6d451373f4e3</originalsourceid><addsrcrecordid>eNqNkU9P3DAQxS3UChbaA18A-UgPATv-Fx8rRJeuEC0SVaVeLMeesKHZONiJIN8e0wVuSJ3LaDS_9w7vIXRIyQnNc3p3uz6hjJXlDlpQzklBFZcf0IJUVBSaUb2H9lO6I4RwosQu2itlpSUjbIHWP2MYoE_tOOPkQoRiY0e3Bo_TOPkZhwZ3drAx5OfQOmx7j58FOE3xFuKMmxCxC11WutF22NneQcRtj-MU870OaWjzI31CH5u84PPLPkC_vp3fnF0Ulz-W38--XhaOy7IsKu65stBUsrYV-Jq6mlrmG69BaOUEldrVwjVWc-YV8U6X3kvPBWWKNRzYATre-g4x3E-QRrNpk4Ousz2EKRlaMVVqwYn8D7SUUkjKREa_bFGXk0gRGjPEdmPjbCgxzx2Y3IH510Fmj15sp3oD_o18DT0Dp1vgoe1gft_JrJYXr5bFVtGmER7fFDb-NVIxJczvq6W5_nO9ulmuroxmTzTRobw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1826656135</pqid></control><display><type>article</type><title>Propensity score-matched study of laparoscopic and open surgery for colorectal cancer in rural hospitals</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Nakao, Toshihiro ; Shimada, Mitsuo ; Yoshikawa, Kozo ; Higashijima, Jun ; Tokunaga, Takuya ; Nishi, Masaaki ; Takasu, Chie ; Kashihara, Hideya ; Suzuka, Ichio ; Nishizaki, Takashi ; Okitsu, Hiroshi ; Yagi, Toshiyuki ; Miyake, Hidenori ; Miura, Murato ; Fukuyama, Mitsutoshi ; Wada, Daisuke ; Bando, Yoshiaki</creator><creatorcontrib>Nakao, Toshihiro ; Shimada, Mitsuo ; Yoshikawa, Kozo ; Higashijima, Jun ; Tokunaga, Takuya ; Nishi, Masaaki ; Takasu, Chie ; Kashihara, Hideya ; Suzuka, Ichio ; Nishizaki, Takashi ; Okitsu, Hiroshi ; Yagi, Toshiyuki ; Miyake, Hidenori ; Miura, Murato ; Fukuyama, Mitsutoshi ; Wada, Daisuke ; Bando, Yoshiaki</creatorcontrib><description>Background and Aim
Various randomized clinical studies have suggested that short‐ and long‐term outcomes of laparoscopic surgery (LAP) for colorectal cancer are comparable with those of open surgery (OP). However, these studies were performed in high‐volume hospitals. The aim of the present study was to compare the outcomes of LAP versus OP for colorectal cancer in rural hospitals.
Methods
This was a multicenter retrospective propensity score‐matched case–control study of patients who underwent colorectal surgery from January 2004 to April 2009 in 10 hospitals in Japan. All patients underwent curative surgery for pathologically diagnosed stage II or III colorectal cancer. The primary end point was 5‐year overall survival (OS). The secondary end points were disease‐free survival (DFS) and postoperative complications.
Results
In total, 319 patients who underwent LAP and 1020 patients who underwent OP were balanced to 261 pairs. There was no significant difference in the OS and DFS between two groups. The operation time was significantly shorter for OP than for LAP. Blood loss was significantly lower in LAP than in OP. There was no difference in intraoperative morbidity between the two groups. The postoperative morbidity was significantly lower in LAP than in OP. The hospital stay was significantly shorter in LAP than in OP. There was no significant difference in 90‐day postoperative mortality.
Conclusions
Laparoscopic surgery may be a feasible option for colorectal cancer in rural hospitals.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.13322</identifier><identifier>PMID: 26896303</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Colectomy - adverse effects ; Colectomy - methods ; colorectal cancer ; Colorectal Neoplasms - pathology ; Colorectal Neoplasms - surgery ; Feasibility Studies ; Female ; Hospitals, Rural ; Humans ; laparoscopic surgery ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Length of Stay - statistics & numerical data ; Male ; Middle Aged ; Neoplasm Grading ; Neoplasm Staging ; Propensity Score ; Retrospective Studies ; rural ; Survival Analysis ; Treatment Outcome</subject><ispartof>Journal of gastroenterology and hepatology, 2016-10, Vol.31 (10), p.1700-1704</ispartof><rights>2016 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd</rights><rights>2016 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4622-84d47aef86ba8edb1cb1a3dfd9e597c5169cb5cfa943d70dc92dd6d451373f4e3</citedby><cites>FETCH-LOGICAL-c4622-84d47aef86ba8edb1cb1a3dfd9e597c5169cb5cfa943d70dc92dd6d451373f4e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgh.13322$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgh.13322$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27928,27929,45578,45579</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26896303$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakao, Toshihiro</creatorcontrib><creatorcontrib>Shimada, Mitsuo</creatorcontrib><creatorcontrib>Yoshikawa, Kozo</creatorcontrib><creatorcontrib>Higashijima, Jun</creatorcontrib><creatorcontrib>Tokunaga, Takuya</creatorcontrib><creatorcontrib>Nishi, Masaaki</creatorcontrib><creatorcontrib>Takasu, Chie</creatorcontrib><creatorcontrib>Kashihara, Hideya</creatorcontrib><creatorcontrib>Suzuka, Ichio</creatorcontrib><creatorcontrib>Nishizaki, Takashi</creatorcontrib><creatorcontrib>Okitsu, Hiroshi</creatorcontrib><creatorcontrib>Yagi, Toshiyuki</creatorcontrib><creatorcontrib>Miyake, Hidenori</creatorcontrib><creatorcontrib>Miura, Murato</creatorcontrib><creatorcontrib>Fukuyama, Mitsutoshi</creatorcontrib><creatorcontrib>Wada, Daisuke</creatorcontrib><creatorcontrib>Bando, Yoshiaki</creatorcontrib><title>Propensity score-matched study of laparoscopic and open surgery for colorectal cancer in rural hospitals</title><title>Journal of gastroenterology and hepatology</title><addtitle>Journal of Gastroenterology and Hepatology</addtitle><description>Background and Aim
Various randomized clinical studies have suggested that short‐ and long‐term outcomes of laparoscopic surgery (LAP) for colorectal cancer are comparable with those of open surgery (OP). However, these studies were performed in high‐volume hospitals. The aim of the present study was to compare the outcomes of LAP versus OP for colorectal cancer in rural hospitals.
Methods
This was a multicenter retrospective propensity score‐matched case–control study of patients who underwent colorectal surgery from January 2004 to April 2009 in 10 hospitals in Japan. All patients underwent curative surgery for pathologically diagnosed stage II or III colorectal cancer. The primary end point was 5‐year overall survival (OS). The secondary end points were disease‐free survival (DFS) and postoperative complications.
Results
In total, 319 patients who underwent LAP and 1020 patients who underwent OP were balanced to 261 pairs. There was no significant difference in the OS and DFS between two groups. The operation time was significantly shorter for OP than for LAP. Blood loss was significantly lower in LAP than in OP. There was no difference in intraoperative morbidity between the two groups. The postoperative morbidity was significantly lower in LAP than in OP. The hospital stay was significantly shorter in LAP than in OP. There was no significant difference in 90‐day postoperative mortality.
Conclusions
Laparoscopic surgery may be a feasible option for colorectal cancer in rural hospitals.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Colectomy - adverse effects</subject><subject>Colectomy - methods</subject><subject>colorectal cancer</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Hospitals, Rural</subject><subject>Humans</subject><subject>laparoscopic surgery</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Staging</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>rural</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9P3DAQxS3UChbaA18A-UgPATv-Fx8rRJeuEC0SVaVeLMeesKHZONiJIN8e0wVuSJ3LaDS_9w7vIXRIyQnNc3p3uz6hjJXlDlpQzklBFZcf0IJUVBSaUb2H9lO6I4RwosQu2itlpSUjbIHWP2MYoE_tOOPkQoRiY0e3Bo_TOPkZhwZ3drAx5OfQOmx7j58FOE3xFuKMmxCxC11WutF22NneQcRtj-MU870OaWjzI31CH5u84PPLPkC_vp3fnF0Ulz-W38--XhaOy7IsKu65stBUsrYV-Jq6mlrmG69BaOUEldrVwjVWc-YV8U6X3kvPBWWKNRzYATre-g4x3E-QRrNpk4Ousz2EKRlaMVVqwYn8D7SUUkjKREa_bFGXk0gRGjPEdmPjbCgxzx2Y3IH510Fmj15sp3oD_o18DT0Dp1vgoe1gft_JrJYXr5bFVtGmER7fFDb-NVIxJczvq6W5_nO9ulmuroxmTzTRobw</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Nakao, Toshihiro</creator><creator>Shimada, Mitsuo</creator><creator>Yoshikawa, Kozo</creator><creator>Higashijima, Jun</creator><creator>Tokunaga, Takuya</creator><creator>Nishi, Masaaki</creator><creator>Takasu, Chie</creator><creator>Kashihara, Hideya</creator><creator>Suzuka, Ichio</creator><creator>Nishizaki, Takashi</creator><creator>Okitsu, Hiroshi</creator><creator>Yagi, Toshiyuki</creator><creator>Miyake, Hidenori</creator><creator>Miura, Murato</creator><creator>Fukuyama, Mitsutoshi</creator><creator>Wada, Daisuke</creator><creator>Bando, Yoshiaki</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>201610</creationdate><title>Propensity score-matched study of laparoscopic and open surgery for colorectal cancer in rural hospitals</title><author>Nakao, Toshihiro ; Shimada, Mitsuo ; Yoshikawa, Kozo ; Higashijima, Jun ; Tokunaga, Takuya ; Nishi, Masaaki ; Takasu, Chie ; Kashihara, Hideya ; Suzuka, Ichio ; Nishizaki, Takashi ; Okitsu, Hiroshi ; Yagi, Toshiyuki ; Miyake, Hidenori ; Miura, Murato ; Fukuyama, Mitsutoshi ; Wada, Daisuke ; Bando, Yoshiaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4622-84d47aef86ba8edb1cb1a3dfd9e597c5169cb5cfa943d70dc92dd6d451373f4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Colectomy - adverse effects</topic><topic>Colectomy - methods</topic><topic>colorectal cancer</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Hospitals, Rural</topic><topic>Humans</topic><topic>laparoscopic surgery</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Grading</topic><topic>Neoplasm Staging</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>rural</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakao, Toshihiro</creatorcontrib><creatorcontrib>Shimada, Mitsuo</creatorcontrib><creatorcontrib>Yoshikawa, Kozo</creatorcontrib><creatorcontrib>Higashijima, Jun</creatorcontrib><creatorcontrib>Tokunaga, Takuya</creatorcontrib><creatorcontrib>Nishi, Masaaki</creatorcontrib><creatorcontrib>Takasu, Chie</creatorcontrib><creatorcontrib>Kashihara, Hideya</creatorcontrib><creatorcontrib>Suzuka, Ichio</creatorcontrib><creatorcontrib>Nishizaki, Takashi</creatorcontrib><creatorcontrib>Okitsu, Hiroshi</creatorcontrib><creatorcontrib>Yagi, Toshiyuki</creatorcontrib><creatorcontrib>Miyake, Hidenori</creatorcontrib><creatorcontrib>Miura, Murato</creatorcontrib><creatorcontrib>Fukuyama, Mitsutoshi</creatorcontrib><creatorcontrib>Wada, Daisuke</creatorcontrib><creatorcontrib>Bando, Yoshiaki</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakao, Toshihiro</au><au>Shimada, Mitsuo</au><au>Yoshikawa, Kozo</au><au>Higashijima, Jun</au><au>Tokunaga, Takuya</au><au>Nishi, Masaaki</au><au>Takasu, Chie</au><au>Kashihara, Hideya</au><au>Suzuka, Ichio</au><au>Nishizaki, Takashi</au><au>Okitsu, Hiroshi</au><au>Yagi, Toshiyuki</au><au>Miyake, Hidenori</au><au>Miura, Murato</au><au>Fukuyama, Mitsutoshi</au><au>Wada, Daisuke</au><au>Bando, Yoshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Propensity score-matched study of laparoscopic and open surgery for colorectal cancer in rural hospitals</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>Journal of Gastroenterology and Hepatology</addtitle><date>2016-10</date><risdate>2016</risdate><volume>31</volume><issue>10</issue><spage>1700</spage><epage>1704</epage><pages>1700-1704</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim
Various randomized clinical studies have suggested that short‐ and long‐term outcomes of laparoscopic surgery (LAP) for colorectal cancer are comparable with those of open surgery (OP). However, these studies were performed in high‐volume hospitals. The aim of the present study was to compare the outcomes of LAP versus OP for colorectal cancer in rural hospitals.
Methods
This was a multicenter retrospective propensity score‐matched case–control study of patients who underwent colorectal surgery from January 2004 to April 2009 in 10 hospitals in Japan. All patients underwent curative surgery for pathologically diagnosed stage II or III colorectal cancer. The primary end point was 5‐year overall survival (OS). The secondary end points were disease‐free survival (DFS) and postoperative complications.
Results
In total, 319 patients who underwent LAP and 1020 patients who underwent OP were balanced to 261 pairs. There was no significant difference in the OS and DFS between two groups. The operation time was significantly shorter for OP than for LAP. Blood loss was significantly lower in LAP than in OP. There was no difference in intraoperative morbidity between the two groups. The postoperative morbidity was significantly lower in LAP than in OP. The hospital stay was significantly shorter in LAP than in OP. There was no significant difference in 90‐day postoperative mortality.
Conclusions
Laparoscopic surgery may be a feasible option for colorectal cancer in rural hospitals.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>26896303</pmid><doi>10.1111/jgh.13322</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Colectomy - adverse effects Colectomy - methods colorectal cancer Colorectal Neoplasms - pathology Colorectal Neoplasms - surgery Feasibility Studies Female Hospitals, Rural Humans laparoscopic surgery Laparoscopy - adverse effects Laparoscopy - methods Length of Stay - statistics & numerical data Male Middle Aged Neoplasm Grading Neoplasm Staging Propensity Score Retrospective Studies rural Survival Analysis Treatment Outcome |
| title | Propensity score-matched study of laparoscopic and open surgery for colorectal cancer in rural hospitals |
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