Detailed evaluation of functional recovery following laparoscopic or open surgery for colorectal cancer within an enhanced recovery programme

PM King, JM Blazeby, P Ewings, RH Kennedy

Research output: Contribution to journalArticle (Academic Journal)peer-review

45 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: Evidence demonstrating improved short-term outcomes with laparoscopic surgery compared with open surgery for colorectal cancer is accumulating. In addition, programmes optimising peri-operative care for major abdominal surgery are becoming widespread. Evaluating laparoscopic surgery and enhanced recovery programmes usually focuses on short-term recovery. The aim of this study was to compare recovery after laparoscopic and open surgery for colorectal cancer up to 1 year post-operatively, using a combination of self-report and observer data. PATIENTS/METHODS: From January 2002 to March 2004, 62 patients were randomised (2:1) to receive laparoscopic (n = 43) or open surgery (n = 19) within an enhanced recovery programme. Functional outcomes up to 1 year were assessed using interview-administered questionnaires. RESULTS/FINDINGS: Questionnaire and health-related quality of life data were obtained in over 85% of patients. Patients undergoing laparoscopic surgery felt fully recovered and resumed driving more quickly than those having open surgery (p = 0.016 and p = 0.048 respectively). Fifty-eight percent of patients having open surgery felt fully recovered by 12 months versus 88% of laparoscopic patients. INTERPRETATION/CONCLUSION: Within an enhanced recovery programme, patients undergoing laparoscopic surgery recovered more quickly than after open resection. Both approaches however, were associated with slow recovery despite a relatively short hospital stay.
Translated title of the contributionDetailed evaluation of functional recovery following laparoscopic or open surgery for colorectal cancer within an enhanced recovery programme
Original languageEnglish
Article numberIn print
Pages (from-to)795 - 800
Number of pages6
JournalInternational Journal of Colorectal Disease
Volume23(8)
DOIs
Publication statusPublished - Aug 2008

Bibliographical note

Publisher: Springer Berlin / Heidelberg
Other: Pub med ID 18465136

Fingerprint Dive into the research topics of 'Detailed evaluation of functional recovery following laparoscopic or open surgery for colorectal cancer within an enhanced recovery programme'. Together they form a unique fingerprint.

Cite this