RT Journal Article
SR Electronic
T1 Outcomes of Laparoscopic Surgery in Colorectal Cancer Patients With Dialysis
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 2165
OP 2170
DO 10.21873/anticanres.14176
VO 40
IS 4
A1 NOBUHIDE HIGASHINO
A1 TAKERU MATSUDA
A1 HIROSHI HASEGAWA
A1 KIMIHIRO YAMASHITA
A1 HIROKI SAKAMOTO
A1 MASATAKA FUJIKAWA
A1 MASASHI YAMAMOTO
A1 SHINGO KANAJI
A1 TARO OSHIKIRI
A1 TETSU NAKAMURA
A1 SATOSHI SUZUKI
A1 YOSHIHIRO KAKEJI
YR 2020
UL http://ar.iiarjournals.org/content/40/4/2165.abstract
AB 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.