Short-term outcomes of laparoscopic colorectal resection in psychiatric patients

Abstract

Aim: To investigate the short-term outcomes of laparoscopic colorectal resection compared with open surgery in psychiatric patients with colorectal cancer.

Methods: The authors retrospectively reviewed the medical records of 31 consecutive patients who underwent open surgery (OS) or laparoscopic surgery (LS) for colorectal cancer between April 2013 and September 2015. All patients were involuntarily admitted to the hospital, because of anosodiaphoria. The clinicopathological characteristics, intraoperative outcomes, and postoperative data of the two groups were analyzed. Categorical data were compared using the χ² test or Fisher exact test, as appropriate. Continuous variables were compared using the Student t test or Mann-Whitney U test, as appropriate. Statistical analyses were performed using the statistical software program, SPSS, version 22 (SPSS Japan, Tokyo). P-values < 0.05 were considered statistically significant.

Results: Sixteenpatients underwent LS, and 15 underwent OS. Blood loss was lower in the LS group than in the OS group (P = 0.001). LS was associated with the earlier resumption of psychiatric drug treatment (P < 0.001) and a shorter hospital stay (P = 0.021) compared with OS.

Conclusion: Laparoscopic colorectal surgery is safe for psychiatric patients. The main advantages of LS include a shorter washout period and reduced hospital stay.

Keywords

Laparoscopic surgery / psychotic disorder / colorectal cancer

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