Abstract:
PURPOSES:This study investigated the surgical outcomes and potential economic advantage of open vs. laparoscopic surgery for colorectal cancer using a propensity score matching analysis. METHODS:We examined the surgical and economic outcomes of patients undergoing laparoscopic (N = 127) and open surgery (N = 253) for colorectal cancer and then compared these outcomes in two groups (N = 103 each) using a propensity score matching analysis. RESULTS:Compared to open surgery, the laparoscopic approach was associated with a significantly lower overall morbidity rate (14 vs. 40%; P < 0.001) and shorter mean (± standard deviation) postoperative hospital stay (12.6 ± 8.3 vs. 16.8 ± 9.9 days, respectively; P = 0.001). Despite generating higher mean surgical costs (Japanese yen) (985,000 ± 215,000 vs. 812,000 ± 222,000 yen; P < 0.001), utilizing a laparoscopic approach significantly reduced the non-surgical costs (773,000 ± 440,000 vs. 1075,000 ± 508,000 yen; P < 0.001). The mean total cost of laparoscopic-assisted surgery (1758,000 ± 576,000 yen) was decreased by approximately 130,000 yen compared with open surgery (1886,000 ± 619,000 yen), although the difference was not statistically significant (P = 0.125). CONCLUSIONS:Laparoscopic surgery for colorectal cancer is advantageous in reducing morbidity and facilitating an early discharge and does not increase hospital costs. These findings are consistent with the general consensus supporting the benefits of laparoscopic surgery as a minimally invasive approach.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Hayashi H,Ozaki N,Ogawa K,Ikuta Y,Tanaka H,Ogata K,Doi K,Takamori Hdoi
10.1007/s00595-017-1606-7subject
Has Abstractpub_date
2018-04-01 00:00:00pages
439-448issue
4eissn
0941-1291issn
1436-2813pii
10.1007/s00595-017-1606-7journal_volume
48pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::We report the case of a patient with pancreatic head cancer, whose replaced common hepatic artery (RCHA) arose from the superior mesenteric artery (SMA). We performed preoperative embolization of the RCHA, after which the liver blood flow was well maintained by the left gastric artery. The patient underwent a radical ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2785-6
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:There is still much controversy regarding the optimal treatment for pulmonary contusion. Therefore, we examined the variables affecting patient outcomes over a 10-year period. METHODS:We retrospectively reviewed 107 consecutive patients with a mean age of 28 years, who were treated for pulmonary contusion duri...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2925-z
更新日期:2005-01-01 00:00:00
abstract::Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas present more commonly in the elderly. This report describes a case of IPMN in a 36-year-old man who presented with obstructive jaundice and weight loss. The initial investigation by computed tomography scan revealed a cystic lesion in the head of pancrea...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4217-0
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:Inguinal hernias are a long-term complication of radical prostatectomy (RP). We investigated the clinical features and surgical outcomes of patients with inguinal hernias developing after RP. METHODS:We retrospectively investigated 80 patients (86 hernias) who underwent inguinal hernia repair after RP. We repa...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02146-9
更新日期:2020-09-26 00:00:00
abstract::The immunosuppressive effects of a leukotriene B4 (LTB4) receptor antagonist, ONO4057, on liver allotransplantation in rats were evaluated, and the levels of prostaglandin E2 (PGE2) in the liver tissue during rejection of the allografts examined. The rats were divided into four groups: group 1: Lewis rats (LEW) given ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311929
更新日期:1996-01-01 00:00:00
abstract::Lymph node dissection is a critical part of surgery for colorectal cancer. Japanese D3 and complete mesocolic excision are two unique principles for lymph node dissection in colorectal cancer. Laparoscopic surgery magnifies the targets and provides insight about the micro-anatomy through high-quality, high-definition ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1595-6
更新日期:2018-03-01 00:00:00
abstract::Acute mediastinal hemorrhage is rarely caused by a rupture of mediastinal neoplasms. We herein report a 70-year-old man who presented with mediastinal parathyroid adenoma manifested by the sudden onset of mediastinal bleeding. Preoperatively, he showed no symptoms or complications associated with hypercalcemia. No par...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200155
更新日期:2002-01-01 00:00:00
abstract::Anastomotic leakage (AL) is a serious but not uncommon complication after colorectal surgery. We conducted this study to evaluate the effect of routine indocyanine green fluorescence angiography (ICG-FA) on reducing the AL rate after colorectal surgery. We identified all research articles about colorectal surgery usin...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-020-02195-0
更新日期:2021-01-11 00:00:00
abstract:PURPOSE:We evaluated the role of intraoperative frozen section (FS) in the surgical management of solitary thyroid nodules, as its true value is a subject of some controversy. METHODS:We reviewed the records of 206 consecutive patients operated on for solitary thyroid nodules. All patients had undergone both preoperat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200167
更新日期:2002-01-01 00:00:00
abstract::We analyzed the safety and feasibility of a hand-assisted laparoscopic distal pancreatectomy (HALDP) in pigs. We performed HALDP in five cases using our original hand device (Lap Disc). The procedures in all cases were successfully performed. The Lap Disc was very useful for performing HALDP because of its compact des...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200122
更新日期:2002-01-01 00:00:00
abstract::To explore the anatomical repositioning of the middle lobe following right upper (RU) lobectomy, we measured the lobar volumes of the lung and the branching angles of the airway, and defined their changes after RU lobectomy in a rabbit model. Groups A1 (n = 10) and A2 (n = 10) were control groups and groups B1 (n = 10...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050122
更新日期:1998-01-01 00:00:00
abstract::There have been no reported cases of xanthogranulomatous cholecystitis with a liver abscess and metastatic endophthalmitis in the literature. There has been only one other case of xanthogranulomatous cholecystitis associated with a liver abscess in Japan prior to the present report. A 53-year-old man was admitted to a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200038
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:Anastomotic leakage (AL) is a critical complication of colorectal cancer surgery. The transanal drainage tube (TDT) is designed to prevent AL caused by decompression and stasis at the anastomosis. We conducted this study to investigate the feasibility of using the TDT to prevent AL following double-stapling tec...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1230-3
更新日期:2016-05-01 00:00:00
abstract::Intraperitoneal (IP) chemotherapy for peritoneal carcinomatosis (PC) from gastrointestinal cancer has been investigated and applied clinically for several decades. Cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy have been considered to be the optimal treatment options for selected patients with co...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-014-0848-x
更新日期:2014-12-01 00:00:00
abstract::A rare case of cecal volvulus in cerebral palsy that was preoperatively diagnosed and surgically treated without complications is herein reported. A 45-year old man, who had been treated for cerebral palsy as a result of a neonatal cerebral hemorrhage, was admitted to our hospital because of abdominal pain and vomitin...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3581-x
更新日期:2008-01-01 00:00:00
abstract::A 53-year-old woman who had end-stage renal disease and hypertension presented with back pain. Chest radiographs and chest computed tomography (CT) showed right pleural effusion with bilateral pleural masses. The patient underwent video-assisted thoracoscopic surgery (VATS) for a biopsy of the right pleural mass and f...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3709-z
更新日期:2008-01-01 00:00:00
abstract::A 41-year-old woman presented with severe and sudden anterior neck swelling, pain, and dysphagia. Computed tomography (CT) scan and ultrasound of the neck showed a giant mass in the retropharyngeal space, displacing the trachea and esophagus anteriorly. Aspiration cytology was done, following which extensive cervical ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950300080
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:Recently, single-incision thoracoscopic surgery (SITS) has been recognized as a favorable treatment choice for primary spontaneous pneumothorax (PSP) compared with conventional three-port video-assisted thoracoscopic surgery (VATS). However, conventional SITS bullectomy often results in collisions with surgical...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1483-0
更新日期:2017-09-01 00:00:00
abstract::A postoperative pseudoaneurysm is a rare complication that is difficult to diagnose. Computed tomography (CT) revealed a pseudoaneurysm in the ascending aorta of a 68-year-old female 8 days after mitral valve replacement and tricuspid annuloplasty. The defect was simply repaired during emergency surgery without cardio...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0194-9
更新日期:2013-05-01 00:00:00
abstract:PURPOSE:The roles of angiogenesis and the most prominent angiogenic vascular endothelial growth factor (VEGF) in diseases of the pancreas remain controversial. We compared microvessel density (MVD) and VEGF status in normal pancreatic, chronic pancreatic, and pancreatic cancer (PC) tissues to establish their prognostic...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0045-0
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:This study was performed to evaluate the operative conditions for an abdominal wall-lifting laparoscopic cholecystectomy (ALLC) using a new preoperative grading system. METHODS:One hundred forty-five patients who underwent a cholecystectomy for cholecystolithiasis from January 1997 to December 1999 were retros...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200005
更新日期:2002-01-01 00:00:00
abstract::Laparoscopy-assisted low anterior resection (LAR) for low rectal cancer is a difficult procedure, presenting problems with rectal washout, selecting the appropriate distal transection line, and achieving safe anastomosis. To resolve these problems, we used a prolapsing technique to perform laparoscopy-assisted LAR. To...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2984-1
更新日期:2005-01-01 00:00:00
abstract::Although lateral internal sphincterotomy is widely accepted as the treatment of choice for anal fissures, we report our experience of successfully treating 195 consecutive patients with posterior chronic anal fissures by performing fissurectomy with midline sphincterotomy and anoplasty (FPSA). The surgical technique i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02388152
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:To evaluate the short- and long-term outcomes of the Frey procedure for chronic pancreatitis (CP). METHODS:The subjects of this study were 12 patients who underwent the Frey procedure for CP between January, 2000 and December, 2016. We assessed pain relief, weight gain, and exocrine/endocrine insufficiency dur...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1548-0
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:We evaluated the usefulness of measuring intima-media thickness (IMT) of the carotid artery by ultrasonography before coronary artery bypass grafting (CABG). METHODS:Seventy-three patients who underwent carotid ultrasonography before CABG were selected for this study. The maximum IMT (max IMT) in the bilateral...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2880-8
更新日期:2005-01-01 00:00:00
abstract::Secondary aortoenteric fistulas (AEFs) are a well-known but uncommon cause of gastrointestinal hemorrhage. They usually occur secondary to reconstructive surgery of an abdominal aneurysm. We report six cases of secondary aortoduodenal fistulas, involving patients who, despite presenting with classic "herald bleeding,"...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2970-7
更新日期:2005-01-01 00:00:00
abstract::We report a case of recurrent thrombocytopenia associated with symptomatic enlargement of an accessory spleen, 2 years after splenectomy, in a 36-year-old man with posthepatitic liver cirrhosis. The patient suffered three episodes of variceal bleeding, but the esophageal varices were not eradicated by two sessions of ...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-004-2837-y
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:The clinical significance of the red blood cell distribution width (RDW) in patients with rectal cancer undergoing preoperative chemoradiotherapy (CRT) followed by surgery has not been fully evaluated. METHODS:In this retrospective study, we investigated the association between the RDW and the prognosis in 120...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01933-3
更新日期:2020-06-01 00:00:00
abstract::Due to the fact that no effective conditioning agent for hemodynamically unstable donors exists, the number of suitable donors is limited. The efficacy of OP-41483, a stable analog of prostaglandin I2, as a conditioning agent of the liver was investigated in this study using pigs. OP-41483 was administered via the por...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02385788
更新日期:1997-01-01 00:00:00
abstract::The effectiveness of the cystic tube (C-tube) and the cystic clip (C-clip) for primary closure of the common bile duct after choledocholithotomy was examined in 10 dogs, followed by an observation period of either 3 months (n = 6) or 1 year (n = 4). No early complications were observed in any of the animals either dur...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311555
更新日期:1996-01-01 00:00:00