Randomized trial of health-related quality of life after open and laparoscopic surgery for colon cancer

Surg Endosc. 2007 May;21(5):747-53. doi: 10.1007/s00464-007-9217-9. Epub 2007 Mar 7.

Abstract

Background: Randomized controlled trials (RCTs) have reported improved or unchanged three-year survival following laparoscopic colon resection (LCR) for colon cancer compared with that following open resection (OCR). The aim of this study was to determine health-related quality of life (HRQL) in patients randomized to laparoscopic or open resection for colon cancer.

Methods: In total, 285 patients (130 LCR, 155 OCR) from seven Swedish centers were included. HRQL was assessed preoperatively and at 2, 4, and 12 weeks postoperatively with the EQ-5D and EORTC QLQ-C30 instruments.

Results: The LCR patients did significantly better on the social function component of the EORTC QLQ-C30 at two and four weeks and on the role function component at two weeks.

Conclusion: Laparoscopic resection for colon cancer improved quality of life during the first postoperative month.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Colectomy*
  • Colonic Neoplasms / psychology
  • Colonic Neoplasms / surgery*
  • Female
  • Health Status*
  • Humans
  • Interpersonal Relations
  • Laparoscopy*
  • Male
  • Postoperative Period
  • Quality of Life*
  • Role
  • Surveys and Questionnaires
  • Time Factors