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Purpose: This study aimed to evaluate short-term and oncologic outcomes of palliative laparoscopic colorectal resection for patients with colorectal cancer with unresectable metastasis compared with open resection. Methods: From the database for patients who underwent surgery for colorectal cancer in our institution. those with colorectal cancer who underwent palliative bowel resection of tumor during the period from January 2008 to December 2010were included. The outcomes of those with laparoscopic resection were reviewed and was made between patients with laparoscopic and resection. Results: A total of 248 patients (133 men) were included, and 50 underwent laparoscopic resection. Conversion was required in six patients (12.0%) and the reasons for conversion were fix or bulky tumors. There was no 30-day postoperative mortality in the laparoscopic group. The complication rate after laparoscopic surgery (8.0%) was similar to that after open surgery (13.1%) (p=0.466) The length of postoperative hospital stay in the laparoscopic group was significantly shorter than that in the open group. (6.7 vs 10.3 days; P=0.048). The overall survivals were similar in the two groups. Conclusions: Compared with open surgery, laparoscopic primary bowel resection for stage Ⅳ colorectal cancer with unresectable metastasis has advantages in the operative outcomes in terms of hospital stay and comparable in the long term oncologic outcomes.

Palliative laparoscopic bowel resection in stage IV colorectal cancer patients with unresectable metastasis