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http://dx.doi.org/10.14456/apjcp.2016.62/APJCP.2016.17.7.3111

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)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.17, no.7, 2016 , pp. 3111-3116 More about this Journal
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;
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