Comparison of the post-operative mid-term health related quality of life between laparoscopic and open surgery for colorectal cancer

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  • FUJII Shoichi
    Department of Surgery, Gastroenterological Center, Yokohama City University
  • YAMAGISHI Shigeru
    Department of Surgery, Gastroenterological Center, Yokohama City University
  • OTA Mitsuyoshi
    Department of Gastroenterological Surgery, Graduate School of Medicine Yokohama City University
  • TATSUMI Kenji
    Department of Gastroenterological Surgery, Graduate School of Medicine Yokohama City University
  • WATANABE Kazuteru
    Department of Surgery, Gastroenterological Center, Yokohama City University
  • SUWA Hirokazu
    Department of Gastroenterological Surgery, Graduate School of Medicine Yokohama City University
  • OHSHIMA Takashi
    Department of Surgery, Gastroenterological Center, Yokohama City University
  • NAGANO Yasuhiko
    Department of Surgery, Gastroenterological Center, Yokohama City University
  • ICHIKAWA Yasushi
    Department of Clinical Oncology, Graduate School of Medicine Yokohama City University
  • KUNISAKI Chikara
    Department of Surgery, Gastroenterological Center, Yokohama City University
  • OHKI Shigeo
    Department of Surgery, Gastroenterological Center, Yokohama City University
  • ENDO Itaru
    Department of Gastroenterological Surgery, Graduate School of Medicine Yokohama City University

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Other Title
  • 大腸癌に対する腹腔鏡手術と開腹手術の術後中期健康関連QOLの比較

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Description

In order to evaluate the post-operative mid-term results of health related quality of life (HQOL) of laparoscopic surgery for colorectal cancer (LC), we made a case-matched control study comparing with conventional open abdominal operation (OC). The variables were sex, age, ASA score, operated year, tumor location (right, transverse, left, rectosigmoid and rectum), operative procedure and TNM stages (0, I, II, III and IV). The scores of 36-Item Short-Form Health Survey (SF-36, self-filling type questionnaire) and the periods until recovering daily life (recovering period) were compared between the LC and OC patient groups. Except for patients who died or did not agree to be enrolled in this study, subjects were 43 LC patients and 35 OC patients whose operations were done from 2007 to 2008. About 12 to 24 months had elapsed after their operations when they enrolled in this study. The filled questionnaire forms could be recovered from 83.3% of the subjects (83.7% and 82.9% from LC and OC patients, respectively). There were no differences in the patient's background items between both groups. LC patients showed significantly favorable results in the role physical (RP) (52.0 : 45.1), Role emotional (RE) (52.6 : 46.2), and reported health transition (HT) (72.9 : 59.5). There were no significant differences in the other items. The post-operative mid-term HQOL results of RP, RE and HT in the LC patients were more excellent than those in the OC patients under the same condition.

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