Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer | British Journal of Surgery

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class="name-role-wrap"> <div class="info-card-name"> N S Abraham </div> </div> <div class="info-card-affilitation"> <div class="aff"><div class="institution">Surgical Outcomes Research Centre, Central Sydney Area Health Service, University of Sydney and Royal Prince Alfred Hospital</div>, Sydney, New South Wales, <div class="country">Australia</div></div> </div> <div class="info-card-search-label"> Search for other works by this author on: </div> <div class="info-card-search info-card-search-internal"> <a href="/bjs/search-results?f_Authors=N+S+Abraham" rel="nofollow">Oxford Academic</a> </div> <div class="info-card-search info-card-search-google"> <a href="http://scholar.google.com/scholar?q=author:%22Abraham N S%22">Google Scholar</a> </div> </div> </span> </span> <span class="al-author-name-more js-flyout-wrap"> <button type="button" class="linked-name js-linked-name-trigger btn-as-link">J M Young</button><span class='delimiter'>, </span> <span class="al-author-info-wrap arrow-up"> <div class="info-card-author authorInfo_OUP_Abstract_ArticleTop_Info_Widget"> <div class="name-role-wrap"> <div class="info-card-name"> J M Young </div> </div> <div class="info-card-affilitation"> <div class="aff"><div class="institution">Surgical Outcomes Research Centre, Central Sydney Area Health Service, University of Sydney and Royal Prince Alfred Hospital</div>, Sydney, New South Wales, <div class="country">Australia</div></div> </div> <div class="info-card-search-label"> Search for other works by this author on: </div> <div class="info-card-search info-card-search-internal"> <a href="/bjs/search-results?f_Authors=J+M+Young" rel="nofollow">Oxford Academic</a> </div> <div class="info-card-search info-card-search-google"> <a href="http://scholar.google.com/scholar?q=author:%22Young J M%22">Google Scholar</a> </div> </div> </span> </span> <span class="al-author-name-more js-flyout-wrap"> <button type="button" class="linked-name js-linked-name-trigger btn-as-link">M J Solomon</button><span class='delimiter'></span> <span class="al-author-info-wrap arrow-up"> <div class="info-card-author authorInfo_OUP_Abstract_ArticleTop_Info_Widget"> <div class="name-role-wrap"> <div class="info-card-name"> M J Solomon <span class="info-card-footnote"><span class="xrefLink" id="jumplink-cor1"></span><a href="javascript:;" reveal-id="cor1" data-open="cor1" class="link link-ref link-reveal xref-default"></a></span> </div> </div> <div class="info-card-affilitation"> <div class="aff"><div class="institution">Surgical Outcomes Research Centre, Central Sydney Area Health Service, University of Sydney and Royal Prince Alfred Hospital</div>, Sydney, New South Wales, <div class="country">Australia</div></div> </div> <div class="info-author-correspondence"> <div content-id="cor1"><em>Correspondence to:</em> Professor M. J. Solomon, Surgical Outcomes Research Centre, PO Box M157, Missenden Road, New South Wales 2050, Australia (e-mail: <a href="mailto:colorectal@email.cs.nsw.gov.au" target="_blank">colorectal@email.cs.nsw.gov.au</a>)</div> </div> <div class="info-card-search-label"> Search for other works by this author on: </div> <div class="info-card-search info-card-search-internal"> <a href="/bjs/search-results?f_Authors=M+J+Solomon" rel="nofollow">Oxford Academic</a> </div> <div class="info-card-search info-card-search-google"> <a href="http://scholar.google.com/scholar?q=author:%22Solomon M J%22">Google Scholar</a> </div> </div> </span> </span> </div> </div> <div class="pub-history-wrap clearfix js-history-dropdown-wrap"> <div class="pub-history-row clearfix"> <div class="ww-citation-primary"><em>British Journal of Surgery</em>, Volume 91, Issue 9, September 2004, Pages 1111–1124, <a href='https://doi.org/10.1002/bjs.4640'>https://doi.org/10.1002/bjs.4640</a></div> </div> <div class="pub-history-row 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>Abstract</h2> <section class="abstract"><div class=" sec"><div class="title">Background</div><p class="chapter-para">The safety and efficacy of laparoscopic resection (LR) for colorectal cancer remains to be established.</p></div><div class=" sec"><div class="title">Methods</div><p class="chapter-para">A meta-analysis of randomized clinical trials comparing the short-term outcomes of laparoscopic with those of open resection for colorectal cancer was undertaken. A literature search was performed for relevant articles published by the end of 2002. Two reviewers independently appraised the trials using a predetermined protocol. Results were analysed using Comprehensive Meta-analysis®.</p></div><div class=" sec"><div class="title">Results</div><p class="chapter-para">The outcomes of 2512 procedures from 12 trials were analysed. LR took on average 32·9 per cent longer to perform than open resection but was associated with lower morbidity rates. Specifically, wound infection rates were significantly lower (odds ratio 0·47 (95 per cent confidence interval 0·28 to 0·80); <em>P</em> = 0·005). In patients undergoing LR, the average time to passage of first flatus was reduced by 33·5 per cent, that to tolerance of a solid diet by 23·9 per cent and that to 80 per cent recovery of peak expiratory flow by 44·3 per cent. Early narcotic analgesia requirements were also reduced by 36·9 per cent, pain at rest by 34·8 per cent and during coughing by 33·9 per cent, and hospital stay by 20·6 per cent. There were no significant differences in perioperative mortality or oncological clearance.</p></div><div class=" sec"><div class="title">Conclusion</div><p class="chapter-para">LR for colorectal cancer is associated with lower morbidity, less pain, a faster recovery and a shorter hospital stay than open resection, without compromising oncological clearance.</p></div></section> <div class="article-metadata-panel clearfix at-ArticleMetadata"></div>  <div class="widget widget-ArticlePubStateInfo widget-instance-OUP_ArticlePubStateInfo"> </div> <div class="article-metadata-standalone-panel clearfix"></div> <div class="copyright copyright-statement">Copyright © 2004 British Journal of Surgery Society Ltd. 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Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer | British Journal of Surgery | Oxford Academic