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Updated: Jun 5, 2026
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
[Operable colon cancer: initial strategy].
Thierry André1, Noshine Tuvignon, Julien Taieb
1Service d'hépato-gastro-entérologie, Groupe hospitalier La Pitié-Salpêtrière, AP-HP, 75651 Paris Cedex 13. thierry.andre@psl.aphp.fr
La Revue Du Praticien
|January 5, 2011
Summary
Screening and optimized surgery have improved colon cancer survival rates. Adjuvant therapy with oxaliplatin and fluoropyrimidine benefits stage-III patients, reducing recurrence.
Area of Science:
- Oncology
- Gastroenterology
Context:
- Screening strategies for colorectal cancer (CRC) have evolved.
- Risk factors include personal/family history of CRC or polyps, and inflammatory bowel disease.
- Mass screening with Hemoccult has become more generalized.
Purpose:
- To review current diagnostic and therapeutic approaches for colon cancer.
- To highlight advancements in surgical and adjuvant treatment strategies.
- To discuss survival rates and recurrence patterns.
Summary:
- Optimized colon surgery and adjuvant chemotherapy have significantly improved 5- and 10-year survival rates.
- Five-year survival ranges from 90% for stage I to 65-70% for stage III CRC.
- Adjuvant therapy with oxaliplatin and fluoropyrimidine is recommended for stage III CRC, improving recurrence-free survival by 20%.
Impact:
- Improved patient outcomes and survival rates for colon cancer.
- Reduced cancer recurrence, particularly metastatic recurrence, through effective adjuvant therapies.
- Established clear indications for adjuvant chemotherapy based on cancer stage.
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