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Research ArticleClinical Studies

Laparoscopic Surgery for Colorectal Cancer in Patients on Hemodialysis: A Propensity Score-matched Analysis

NAO OBARA, YASUMITSU HIRANO, TOSHIMASA ISHII, HIROKA KONDO, KIYOKA HARA, LIMING WANG, MASAHIRO ASARI, MISATO ITO and SHIGEKI YAMAGUCHI
Anticancer Research February 2021, 41 (2) 993-997; DOI: https://doi.org/10.21873/anticanres.14853
NAO OBARA
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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  • For correspondence: naoobara0528@gmail.com
YASUMITSU HIRANO
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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TOSHIMASA ISHII
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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HIROKA KONDO
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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KIYOKA HARA
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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LIMING WANG
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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MASAHIRO ASARI
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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MISATO ITO
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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SHIGEKI YAMAGUCHI
Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan
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Abstract

Background/Aim: Surgery on hemodialysis patients requires special attention, as the tissue of these patients is vulnerable and hemorrhagic. This study explored the feasibility of laparoscopic surgery for colorectal cancer in hemodialysis patients. Patients and Methods: This was a retrospective study of patients who underwent laparoscopic surgery for colorectal cancer in a single institute from April 2007 to December 2016. Results: A total of 2668 patients were included: 24 (0.9%) were on hemodialysis, and 2644 (99.1%) were not. After 1:1 propensity score matching, there were no significant differences in the short-term postoperative results, the disease-free survival rate (p=0.0813) or the cancer-specific survival rate (p=0.555). However, the overall survival rate was significantly lower in hemodialysis patients than in non-hemodialysis patients (p=0.0135). Conclusion: Standard laparoscopic operative procedures can be safely performed for hemodialysis patients, and there was no marked difference in the long-term oncological outcomes between the two groups.

Key Words:
  • Colorectal cancer
  • hemodialysis
  • laparoscopic surgery
  • Received December 13, 2020.
  • Revision received December 22, 2020.
  • Accepted December 23, 2020.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (2)
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February 2021
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Laparoscopic Surgery for Colorectal Cancer in Patients on Hemodialysis: A Propensity Score-matched Analysis
NAO OBARA, YASUMITSU HIRANO, TOSHIMASA ISHII, HIROKA KONDO, KIYOKA HARA, LIMING WANG, MASAHIRO ASARI, MISATO ITO, SHIGEKI YAMAGUCHI
Anticancer Research Feb 2021, 41 (2) 993-997; DOI: 10.21873/anticanres.14853

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Laparoscopic Surgery for Colorectal Cancer in Patients on Hemodialysis: A Propensity Score-matched Analysis
NAO OBARA, YASUMITSU HIRANO, TOSHIMASA ISHII, HIROKA KONDO, KIYOKA HARA, LIMING WANG, MASAHIRO ASARI, MISATO ITO, SHIGEKI YAMAGUCHI
Anticancer Research Feb 2021, 41 (2) 993-997; DOI: 10.21873/anticanres.14853
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