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A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer
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A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer
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A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer
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Journal Article
A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer
2004
Overview
Concern about the possibility of inadequate resection and recurrent cancer with the use of laparoscopically assisted colectomy prompted this randomized trial comparing laparoscopically assisted with open surgery for colon cancer. The trial involved 863 patients and 66 surgeons at 48 hospitals. Rates of cancer recurrence, operative complications, and survival were similar in the two groups.
Laparoscopically assisted surgery is an acceptable alternative to open surgery for colon cancer.
Minimally invasive surgery revolutionized the way operations were performed. Gallbladder procedures that previously required long incisions and extended periods of hospitalization were transformed through the use of laparoscopic techniques.
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,
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The possibility that this approach could benefit patients undergoing colectomy for colon cancer was first considered in 1990.
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However, a number of cancer-specific questions arose, including the following: Could minimally invasive surgery achieve a proper oncologic resection, with the same extent of exploration and information about lymph-node staging provided by a standard open resection? Were patterns of tumor-cell dissemination altered or enhanced by the use of laparoscopic techniques? These concerns . . .
Publisher
Massachusetts Medical Society
