Our Summary

This study looked at whether it was safe to conduct laparoscopic surgery (a type of minimally invasive surgery) for colorectal cancer in patients who are on hemodialysis. Hemodialysis is a treatment for kidney failure where a machine filters waste, salt and extra water from your blood, as your kidneys are no longer able to.

Between April 2007 and December 2016, they studied 2,668 patients who had this surgery, and found that while the overall survival rate was slightly lower in patients on hemodialysis, there were no significant differences in the short-term results after surgery, or in the survival rate specifically related to cancer.

In simple terms, the study concluded that it’s safe to conduct this surgery on patients on hemodialysis, and their cancer outcomes are not significantly different from those who are not on hemodialysis.

FAQs

  1. Is it safe to conduct laparoscopic surgery for colorectal cancer in patients on hemodialysis?
  2. What was the survival rate for patients on hemodialysis who underwent laparoscopic surgery for colorectal cancer?
  3. Were there any significant differences noted in the short-term results after surgery between patients on hemodialysis and those not on hemodialysis?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic surgery is that it is a minimally invasive procedure that typically results in less pain, shorter recovery times, and smaller scars compared to traditional open surgery. It is important to follow your doctor’s pre-operative and post-operative instructions to ensure a successful outcome. Additionally, discussing any medical conditions or medications you are taking with your doctor prior to surgery is crucial for a safe and successful procedure.

Suitable For

Therefore, patients who are on hemodialysis and have colorectal cancer may be recommended for laparoscopic surgery as a treatment option. Other types of patients who are typically recommended for laparoscopic surgery include those with conditions such as appendicitis, gallbladder disease, hernias, and certain gynecological issues like endometriosis or ovarian cysts. Laparoscopic surgery is often preferred for these patients due to its minimally invasive nature, resulting in less pain, shorter recovery times, and lower risk of complications compared to traditional open surgery.

Timeline

Before laparoscopic surgery:

  • Patient is diagnosed with colorectal cancer
  • Patient undergoes preoperative evaluations, including blood tests, imaging scans, and possibly a colonoscopy
  • Patient discusses the risks and benefits of laparoscopic surgery with their healthcare team
  • Patient may need to make lifestyle changes or take medications to prepare for surgery

After laparoscopic surgery:

  • Patient is monitored closely in the recovery room for any complications
  • Patient may experience some pain or discomfort at the incision sites
  • Patient is gradually introduced to a clear liquid diet, then advanced to solid foods as tolerated
  • Patient is encouraged to walk and move around to prevent blood clots and promote healing
  • Patient may need to stay in the hospital for a few days for observation
  • Patient follows up with their healthcare team for postoperative care and monitoring of their cancer recurrence risk

What to Ask Your Doctor

  1. What are the potential risks and complications associated with laparoscopic surgery for colorectal cancer in patients on hemodialysis?

  2. How will my kidney function and hemodialysis treatment be affected before, during, and after the surgery?

  3. How experienced is the surgical team in performing laparoscopic surgery on patients on hemodialysis?

  4. Are there any specific precautions or additional steps that need to be taken during the surgery due to my hemodialysis treatment?

  5. Will I need any adjustments to my medication or dialysis schedule before or after the surgery?

  6. How long is the recovery time expected to be for a patient on hemodialysis undergoing laparoscopic surgery for colorectal cancer?

  7. Are there any specific dietary or lifestyle changes I should make to support my recovery after the surgery?

  8. How often will I need follow-up appointments and tests to monitor my kidney function, cancer outcomes, and overall health after the surgery?

  9. What are the long-term implications of having laparoscopic surgery for colorectal cancer while on hemodialysis?

  10. Are there any alternative treatment options or considerations for patients on hemodialysis who are diagnosed with colorectal cancer?

Reference

Authors: Obara N, Hirano Y, Ishii T, Kondo H, Hara K, Wang L, Asari M, Ito M, Yamaguchi S. Journal: Anticancer Res. 2021 Feb;41(2):993-997. doi: 10.21873/anticanres.14853. PMID: 33517306