PURPOSE: The long-term results of a laparoscopic resection for @entity14 have been reported in several studies, but reports on the results of laparoscopic surgery for @entity5 are limited. We investigated the long-term outcomes, including the five-year overall survival, disease-free survival and recurrence rate, after a laparoscopic resection for @entity14 . METHODS: Using prospectively collected data on 303 @entity1 with @entity14 who underwent a laparoscopic resection between January 2001, and December 2003, we analyzed sex, age, stage, complications, hospital stay, mean operation time and @entity190 . The overall survival rate, disease-free survival rate and recurrence rate were investigated for 271 @entity1 who could be followed for more than three years. RESULTS: Tumor-node-metastasis (TNM) stage I @entity5 was present in 55 @entity1 (18.1%), stage II in 116 @entity1 (38.3%), stage III in 110 @entity1 (36.3%), and stage IV in 22 @entity1 (7.3%). The mean operative time was 200 minutes (range, 100 to 535 minutes), and the mean @entity190 was 97 mL (range, 20 to 1,200 mL). The mean hospital stay was 11 days and the mean follow-up period was 54 months. The mean numbers of resected lymph nodes were 26 and 21 in the colon and the rectum, respectively, and the mean distal margins were 10 and 3 cm. The overall morbidity rate was 26.1%. The local recurrence rates were 2.2% and 4.4% in the colon and the rectum, respectively, and the distant recurrence rates were 7.8% and 22.5%. The five-year overall survival rates were 86.1% in the colon (stage I, 100%; stage II, 97.6%; stage III, 77.5%; stage IV, 16.7%) and 68.8% in the rectum (stage I, 90.2%; stage II, 84.0%; stage III, 57.6; stage IV, 13.3%). The five-year disease-free survival rates were 89.8% in the colon (stage I, 100%; stage II, 97.7%; stage III, 74.2%) and 74.5% in the rectum (stage I, 90.0%; stage II, 83.9%; stage III, 59.2%). CONCLUSION: Laparoscopic surgery for @entity14 is a good alternative method to open surgery with tolerable oncologic long-term results.

Long-term Outcomes of Laparoscopic Surgery for XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'rectal cancer'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer']
@entity14 :: (MESH:D015179,Disease) :: ['Colorectal Cancer']
