Introduction: Laparoscopic colorectal surgery has become widely used in treating colorectal cancer. Multicenter studies have shown that laparoscopy decreases postoperative complications and provides equivalent long-term oncological results compared to open surgery. Previous studies were conducted in high-volume institutions, with selected patients, which may influence the reported outcome of laparoscopy. Methods: All patients with colorectal cancer that underwent surgery for a primary tumor between 2005 and 2015 in the Lapland Central Hospital were retrospectively collected. We retrieved data on the primary surgical outcome and complications within the first 30 days after surgery from patient records. We surveyed the national patient registry to determine long-term oncological results and patient survival. Results: We identified 349 patients treated for colorectal cancer during 2005–2015. Of these, 219 patients (median age 71 years) underwent laparoscopy and 130 (median age 72 years) underwent open surgery. The 5-year disease-specific survival rates for stages I–III colon cancer were 83.3 and 87.7%, respectively. The 3-year disease-specific survival rates for stages I–III rectal cancer were 86.1 and 65.0%, respectively. Conclusion: Our results showed that the introduction of laparoscopic colorectal surgery for treating cancer in a rural, small-volume hospital provided short- and long-term results comparable to findings from previous studies conducted in high-volume centers. Therefore, laparoscopy should be considered the treatment of choice for colorectal cancer in small, rural clinics.
Gastrointest Tumors

中文翻译：

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芬兰拉普兰农村小规模中心医院腹腔镜技术对结直肠癌手术结果的影响

简介：腹腔镜结直肠手术已广泛用于治疗结直肠癌。多中心研究表明，与开腹手术相比，腹腔镜可减少术后并发症并提供等效的长期肿瘤学结果。以前的研究是在大量机构中进行的，有选定的患者，这可能会影响报告的腹腔镜检查结果。方法：回顾性收集了 2005 年至 2015 年间在拉普兰中心医院接受原发肿瘤手术的所有结直肠癌患者。我们从患者记录中检索了手术后前 30 天内的主要手术结果和并发症的数据。我们调查了全国患者登记处以确定长期肿瘤学结果和患者存活率。结果：我们确定了 2005-2015 年间接受治疗的 349 名结直肠癌患者。其中，219 名患者（中位年龄 71 岁）接受了腹腔镜检查，130 名患者（中位年龄 72 岁）接受了开腹手术。I-III 期结肠癌的 5 年疾病特异性生存率分别为 83.3% 和 87.7%。I-III 期直肠癌的 3 年疾病特异性生存率分别为 86.1% 和 65.0%。结论：我们的研究结果表明，在农村小规模医院引入腹腔镜结直肠手术治疗癌症提供的短期和长期结果与之前在大容量中心进行的研究结果相当。因此，腹腔镜应被视为农村小型诊所结直肠癌的首选治疗方法。
胃肠肿瘤