University of Oulu

Rintala J, M, Tahvonen P, R, Vuolio S, T, Typpö I, T, Suokanerva K, A, Huhta H, I: The Effect of Laparoscopic Technique on the Surgical Outcome of Colorectal Cancer in a Small-Volume Rural Finnish Lapland Central Hospital. Gastrointest Tumors 2021;8:16-24. doi: 10.1159/000511104

The effect of laparoscopic technique on the surgical outcome of colorectal cancer in a small-volume rural Finnish Lapland Central Hospital

Saved in:
Author: Rintala, J. M.1,2; Tahvonen, P. R.3; Vuolio, S. T.4;
Organizations: 1Cancer and Translational Medicine Research Unit, Medical Research Centre Oulu University of Oulu Oulu Finland, Oulu, Finland
2Department of Surgery Oulu University Hospital Oulu Finland, Oulu, Finland
3Department of Radiology Lapland Central Hospital Rovaniemi, Rovaniemi, Finland
4Department of Surgery Lapland Central Hospital Rovaniemi, Rovaniemi, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
Persistent link:
Language: English
Published: Karger, 2020
Publish Date: 2021-02-22


Introduction: Laparoscopic colorectal surgery has become widely used in treating colorectal cancer. Multicenter studies have shown that laparoscopy decreases postoperative complications and provides equivalent long-term oncological results compared to open surgery. Previous studies were conducted in high-volume institutions, with selected patients, which may influence the reported outcome of laparoscopy.

Methods: All patients with colorectal cancer that underwent surgery for a primary tumor between 2005 and 2015 in the Lapland Central Hospital were retrospectively collected. We retrieved data on the primary surgical outcome and complications within the first 30 days after surgery from patient records. We surveyed the national patient registry to determine long-term oncological results and patient survival.

Results: We identified 349 patients treated for colorectal cancer during 2005–2015. Of these, 219 patients (median age 71 years) underwent laparoscopy and 130 (median age 72 years) underwent open surgery. The 5-year disease-specific survival rates for stages I–III colon cancer were 83.3 and 87.7%, respectively. The 3-year disease-specific survival rates for stages I–III rectal cancer were 86.1 and 65.0%, respectively.

Conclusions: Our results showed that the introduction of laparoscopic colorectal surgery for treating cancer in a rural, small-volume hospital provided short- and long-term results comparable to findings from previous studies conducted in high-volume centers. Therefore, laparoscopy should be considered the treatment of choice for colorectal cancer in small, rural clinics.

see all

Series: Gastrointestinal tumors
ISSN: 2296-3774
ISSN-E: 2296-3766
ISSN-L: 2296-3774
Volume: 8
Issue: 1
Pages: 16 - 24
DOI: 10.1159/000511104
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
3122 Cancers
Funding: This work was supported by grants from the Thelma Mäkikyrö Foundation and the Mary and Georg Ehrnrooth Foundation.
Copyright information: © 2020 The Author(s). Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.