Laparoscopic resection of advanced XXXX .

@entity5 @entity1 @entity14
BACKGROUND: Palliative resection of the primary @entity5 in asymptomatic @entity1 with stage IV @entity14 is associated with improved survival and fewer complications. Laparoscopic surgery is widely employed in the curative treatment of @entity14 , but its value in advanced @entity14 remains unclear. METHODS: All @entity1 who underwent laparoscopic resection of primary @entity14 in this unit between June 1991 and Jan 2010 were entered into a prospective computerized database. Outcomes for @entity1 with laparoscopic resection of stage IV @entity14 were compared with those of @entity1 who had laparoscopic surgery for stage I disease. RESULTS: Some 185 @entity1 with stage IV @entity14 who underwent laparoscopic resection were compared with 310 @entity1 who had stage I @entity14 . Some 94  1 and 98  4 per cent of operations respectively were completed laparoscopically. Hospital stay was slightly longer in the group with stage IV disease (mean 6  2 versus 5  3 days; P = 0  091). The 30-day mortality rate was 2  7 per cent in @entity1 with stage IV disease and 0  6 per cent in those with @entity5 (P = 0  061). There was no difference in complications. One-year survival rates were 77  8 and 99  0 per cent respectively (P < 0  001). CONCLUSION: Short-term outcomes after laparoscopic surgery for stage IV @entity14 in selected @entity1 are equivalent to those for @entity5 .
