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Laparoscopic surgery for colon and rectal cancer
R Bleday1, T Babineau, R A Forse
1Department of Surgery, New England Deaconess Hospital, Boston, Massachusetts 02215.
Seminars in Surgical Oncology
|January 1, 1993
Summary
Laparoscopic surgery for colon cancer shows promising early results, with no difference in lymph node retrieval compared to open surgery. This technique may reduce hospital stays, but further trials are needed.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Laparoscopic techniques are increasingly used in general surgery.
- Application to colon and rectal cancer requires evaluation of oncologic outcomes.
- Feasibility and safety of laparoscopic colectomy for malignancy are under investigation.
Purpose of the Study:
- To assess the technical feasibility, oncologic safety, and early outcomes of laparoscopic colectomy for colon and rectal cancer.
- To compare laparoscopic-assisted colectomies with conventional open resections.
Main Methods:
- Review of early results from a registry of laparoscopic-assisted colectomies.
- Assessment of technical aspects including margins and lymph node retrieval.
- Retrospective analysis of postoperative outcomes.
Main Results:
- Right colon, sigmoid, and proximal rectum are most amenable to laparoscopic resection.
- No significant difference in lymph node count between laparoscopic-assisted and conventional colectomies.
- Potential for a significant decrease in postoperative length of stay.
Conclusions:
- Laparoscopic-assisted colectomy for colorectal cancer must adhere to established oncologic principles.
- Further randomized trials are necessary to directly compare laparoscopic and conventional cancer resections of the large bowel.