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Laparoscopic resection of the colon and rectum for cancer
E L Bokey1, J W Moore, J P Keating
1University of Sydney Department of Colon, Concord Hospital, New South Wales, Australia.
Background:
Laparoscopically-assisted resection for large bowel cancer is technically feasible. Sixty-six patients who had resection of the colon or rectum for cancer have been audited prospectively.
Methods:
Clinical and pathological data were collected prospectively as part of the ongoing Concord Hospital colorectal cancer project. Patients were followed up for a median of 29 months.
Results:
In 57 of 66 patients in whom laparoscopic resection was attempted the operation was completed laparoscopically. Three patients died from perioperative myocardial infarction. The median postoperative stay was 14 days. There was a high incidence of postoperative respiratory and cardiac complications. One patient developed a port-site metastasis.
Conclusion:
There was no obvious benefit from laparoscopically-assisted resection of large bowel cancer in these patients.