@article{oai:shiga-med.repo.nii.ac.jp:00000187, author = {太田, 裕之 and 清水, 智治 and 園田, 寛道 and 目片, 英治 and 遠藤, 善裕 and 谷, 眞至}, issue = {1}, journal = {滋賀医科大学雑誌}, month = {Feb}, note = {Departmental Bulletin Paper, Objective: Retrospectively, we evaluated short-term outcomes of laparoscopic surgery for the advanced rectal cancer in the Shiga University of Medical Science Hospital. Methods: A total of 87 patients underwent elective surgery for the primary advanced rectal cancer from January 2011 to March 2014. 39 patients who underwent open surgery and 48 patients who underwent laparoscopic surgery were analyzed comparatively. Results: The proportion of the laparoscopic surgery had been increasing annually. Patients who underwent open surgery had more advanced clinical stage of the cancer in this analysis. Patients who underwent laparoscopic surgery had anterior resection more frequently and less blood loss. Morbidity [56%(22/39) vs 23%(11/48), p = 0.002] was lower in the laparoscopic surgery group. Laparoscopic surgery was also associated with a shorter hospital stay [21.9 days vs 15.7 days, p = 0.03]. Conclusions: Short-term surgical safety and clinical benefits were obtained in the laparoscopic surgery group, which had earlier clinical stage in this retrospective analysis. We will continue and pursue a radical laparoscopic surgery for the advanced rectal cancer with various modalities, including neoadjuvant chemotherapy and lateral pelvic lymph node dissection.}, pages = {13--17}, title = {当院における進行直腸癌に対する腹腔鏡手術の短期治療成績 : 開腹手術との比較}, volume = {28}, year = {2015} }