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Yuu et al. Mini-invasive Surg 2017;1:173-9 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2017.36
www.misjournal.net
Original Article Open Access

Short-term outcomes of laparoscopic

colorectal resection in psychiatric patients

Ken Yuu , Kazuhito Yajima , Masanori Tada , Nasry Baongoc , Kurumi Tsuchihashi , Masao Ogawa , Masayasu
1
1
3
1
2
3
Kawasaki , Masao Kameyama 1
1
1 Department of Surgery, Bell Land General Hospital, Sakai, Osaka 599-8247, Japan.
2 Department of Surgery, Sainokuni Higashiomiya Medical Center, Saitama-shi, Saitama 331-8577, Japan.
3 Department of Surgery, Tokyo Metropolitan Matsuzawa Hospital, Setagaya-ku, Tokyo 156-0057, Japan.
Correspondence to: Dr. Ken Yuu, Department of Surgery, Bell Land General Hospital, 500-3, Higashiyama, Naka-ku, Sakai, Osaka 599-8247, Japan. E-mail:
k_yuu@seichokai.or.jp
How to cite this article: Yuu K, Yajima K, Tada M, Baongoc N, Tsuchihashi K, Ogawa M, Kawasaki M, Kameyama M. Short-term outcomes of laparoscopic
colorectal resection in psychiatric patients. Mini-invasive Surg 2017;1:173-9.
ABSTRACT
Article history: Aim: To investigate the short-term outcomes of laparoscopic colorectal resection compared with
Received: 14 Aug 2017 open surgery in psychiatric patients with colorectal cancer. Methods: The authors retrospectively
First Decision: 21 Sep 2017 reviewed the medical records of 31 consecutive patients who underwent open surgery (OS)
Revised: 6 Oct 2017 or laparoscopic surgery (LS) for colorectal cancer between April 2013 and September 2015.
Accepted: 12 Oct 2017 All patients were involuntarily admitted to the hospital, because of anosodiaphoria. The
Published: 28 Dec 2017 clinicopathological characteristics, intraoperative outcomes, and postoperative data of the two
groups were analyzed. Categorical data were compared using the χ test or Fisher exact test, as
2
Key words: appropriate. Continuous variables were compared using the Student t test or Mann-Whitney U
Laparoscopic surgery, test, as appropriate. Statistical analyses were performed using the statistical software program,
psychotic disorder, SPSS, version 22 (SPSS Japan, Tokyo). P-values < 0.05 were considered statistically significant.
colorectal cancer 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.

INTRODUCTION better short-term outcomes than OS in psychiatric
patients with colorectal cancer.
Laparoscopic colectomy has become accepted as an Patients with serious mental illnesses are at a
alternative to conventional open surgery (OS) for treating significantly increased risk of death from cardiovascular,
colon cancer because it results in earlier recovery. gastrointestinal, or respiratory disease [3-5] . Furthermore,
For patients with colorectal cancer, the benefits of clinical data suggest that patients with such conditions
laparoscopic surgery (LS) include fewer postoperative exhibit worse surgical outcomes than other patients .
[6]
complications, shorter periods of hospitalization, and
a more rapid recovery [1,2] . Therefore, LS may achieve Patients with psychiatric disorders who develop cancer
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