Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica

Introduction. Schistosomiasis is associated with numerous complications such as thrombocytopenia, liver cirrhosis, portal hypertension, and colitis. To the best of our knowledge, the feasibility and outcomes of laparoscopic colorectal surgery in patients with schistosomiasis have not yet been studie...

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Main Authors: Zhu Yi, Jiang Hong-Gang, Chen Zhi-Heng, Lu Bo-Hao
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/8357025
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author Zhu Yi
Jiang Hong-Gang
Chen Zhi-Heng
Lu Bo-Hao
author_facet Zhu Yi
Jiang Hong-Gang
Chen Zhi-Heng
Lu Bo-Hao
author_sort Zhu Yi
collection DOAJ
description Introduction. Schistosomiasis is associated with numerous complications such as thrombocytopenia, liver cirrhosis, portal hypertension, and colitis. To the best of our knowledge, the feasibility and outcomes of laparoscopic colorectal surgery in patients with schistosomiasis have not yet been studied. Methods. In this study, the data of 280 patients with colorectal carcinoma along with schistosomiasis japonica infection who underwent laparoscopic or open colorectal surgery were retrospectively analyzed. Preoperative data, operative data, pathological outcomes, postoperative complications, and recovery were compared between patients in the laparoscopic (LAC) and open (OC) groups. Results. There were no significant differences in the preoperative data between the groups. However, fewer postoperative complications, especially severe hypoproteinemia, early postoperative feeding, and shorter postoperative hospital stay, were observed in patients in the LAC group (P<0.001). The mean operative time was higher in the LAC group (180 min versus 158 min; P<0.001), while the mean blood loss was similar (95 mL versus 108 mL; P=0.196) between groups. The mean number of lymph nodes harvested was also similar in both groups (15 versus 16; P=0.133). Conclusion. Laparoscopic surgery for colorectal cancer is safe in patients with schistosomiasis japonica and has better short-term outcomes than open surgery.
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spelling doaj-art-f6021cd8b1e043698f50ebdeaeaae17c2025-02-03T06:11:06ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/83570258357025Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis JaponicaZhu Yi0Jiang Hong-Gang1Chen Zhi-Heng2Lu Bo-Hao3Department of Surgical Oncology, First Hospital of Jiaxing, Jiaxing, Zhejiang 314000, ChinaDepartment of Surgical Oncology, First Hospital of Jiaxing, Jiaxing, Zhejiang 314000, ChinaDepartment of Surgical Oncology, First Hospital of Jiaxing, Jiaxing, Zhejiang 314000, ChinaDepartment of Surgical Oncology, First Hospital of Jiaxing, Jiaxing, Zhejiang 314000, ChinaIntroduction. Schistosomiasis is associated with numerous complications such as thrombocytopenia, liver cirrhosis, portal hypertension, and colitis. To the best of our knowledge, the feasibility and outcomes of laparoscopic colorectal surgery in patients with schistosomiasis have not yet been studied. Methods. In this study, the data of 280 patients with colorectal carcinoma along with schistosomiasis japonica infection who underwent laparoscopic or open colorectal surgery were retrospectively analyzed. Preoperative data, operative data, pathological outcomes, postoperative complications, and recovery were compared between patients in the laparoscopic (LAC) and open (OC) groups. Results. There were no significant differences in the preoperative data between the groups. However, fewer postoperative complications, especially severe hypoproteinemia, early postoperative feeding, and shorter postoperative hospital stay, were observed in patients in the LAC group (P<0.001). The mean operative time was higher in the LAC group (180 min versus 158 min; P<0.001), while the mean blood loss was similar (95 mL versus 108 mL; P=0.196) between groups. The mean number of lymph nodes harvested was also similar in both groups (15 versus 16; P=0.133). Conclusion. Laparoscopic surgery for colorectal cancer is safe in patients with schistosomiasis japonica and has better short-term outcomes than open surgery.http://dx.doi.org/10.1155/2016/8357025
spellingShingle Zhu Yi
Jiang Hong-Gang
Chen Zhi-Heng
Lu Bo-Hao
Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica
Gastroenterology Research and Practice
title Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica
title_full Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica
title_fullStr Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica
title_full_unstemmed Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica
title_short Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica
title_sort short term efficacy of laparoscopic treatment for colorectal cancer in patients with schistosomiasis japonica
url http://dx.doi.org/10.1155/2016/8357025
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AT chenzhiheng shorttermefficacyoflaparoscopictreatmentforcolorectalcancerinpatientswithschistosomiasisjaponica
AT lubohao shorttermefficacyoflaparoscopictreatmentforcolorectalcancerinpatientswithschistosomiasisjaponica