Reduced 30-Day Mortality after Laparoscopic Colorectal Cancer Surgery: a Population Based Study from the Dutch Surgical Colorectal Audit (DSCA)

摘要

Objectives: To evaluate the impact of a laparoscopic resection on postoperative mortality after colorectal cancer surgery. Background: The question whether laparoscopic resection (LR) compared with open surgery [open resection (OR)] for colorectal cancer influences the risk of postoperative mortality remains unresolved. Several meta-analyses showed a trend but failed to reach statistical significance. The exclusion of high-risk patients and insufficient power might be responsible for that. We analyzed the influence of LR on postoperative mortality in a risk-stratified comparison and secondly, we studied the effect of LR on postoperative morbidity.