Outcomes of Laparoscopic Surgery in Colorectal Cancer Patients With Dialysis
| Autor: | Yoshihiro Kakeji, Hiroshi Hasegawa, Taro Oshikiri, Nobuhide Higashino, Kimihiro Yamashita, Tetsu Nakamura, Masashi Yamamoto, Hiroki Sakamoto, Takeru Matsuda, Masataka Fujikawa, Shingo Kanaji, Satoshi Suzuki |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Laparoscopic surgery Cancer Research medicine.medical_specialty Colorectal cancer medicine.medical_treatment Kaplan-Meier Estimate Dialysis patients Cohort Studies 03 medical and health sciences 0302 clinical medicine Renal Dialysis medicine Overall survival Humans Renal Insufficiency Chronic Dialysis Aged Aged 80 and over business.industry Significant difference General Medicine Middle Aged medicine.disease Surgery Treatment Outcome Oncology 030220 oncology & carcinogenesis Propensity score matching Cohort Female Laparoscopy Colorectal Neoplasms business |
| Zdroj: | Anticancer Research. 40:2165-2170 |
| ISSN: | 1791-7530 0250-7005 |
| DOI: | 10.21873/anticanres.14176 |
| Popis: | Background/aim To investigate the outcomes of laparoscopic surgery in colorectal cancer patients with dialysis. Patients and methods Fourteen dialysis (dialysis group) and 567 non-dialysis (non-dialysis group) patients who underwent laparoscopic and open surgery for colorectal cancer between April 2008 and December 2015 were included. Short-term and long-term outcomes were compared between the groups. A 1:2 propensity score matching was performed to compare long-term outcomes. Results All the dialysis patients underwent laparoscopic surgery. There were no significant differences in operative outcomes and postoperative short-term outcomes between the two groups. In the whole cohort, overall survival of dialysis patients was shorter than that in the non-dialysis ones (p=0.020), while disease-free survival did not differ between the two groups. After matching, there was no significant difference between the groups in overall or disease-free survival. Conclusion Laparoscopic colorectal cancer surgery for dialysis patients seems safe and feasible and associates with comparable short-term outcome and recurrence rate to non-dialysis patients. |
| Databáze: | OpenAIRE |
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