Skip to main content

Advertisement

SpringerLink
Log in

Comparison of Clinical Outcomes Between Laparoscopic-Assisted and Minilaparotomy Approaches for Colon Cancer

  • Original Research
  • Published:
Journal of Gastrointestinal Cancer Aims and scope Submit manuscript

Abstract

Background/Aims

The minilaparotomy approach is feasible for the resection of colon cancer. This study aimed to compare the clinical and oncological outcomes of minilaparotomy and laparoscopic approaches in patients with colon cancer.

Methods

We performed a retrospective analysis of consecutive patients undergoing minilaparotomy or laparoscopic resection for colon cancer from January 2009 to December 2014.

Results

There were 376 patients with colon cancer. Seventy-one patients were excluded. The remaining 305 patients were allocated to the minilaparotomy (n = 146) group or laparoscopic group (n = 159). The demographic data of the two groups was similar except for body mass index. The time to first bowel movement (P = 0.000) and the hospital stay (P = 0.005) were less in the laparoscopic group. Compared with the minilaparotomy group, the mean operation time was longer and the costs higher for laparoscopic group (P = 0.000). The morbidity, mortality, and local recurrence were comparable between the two groups. The 5-year overall and disease-free survival rates were also similar (overall survival is 75.3 vs. 72.9%, P = 0.648; disease-free survival is 66.2 vs. 70.2%, P = 0.914).

Conclusion

The minilaparotomy approach was safe and equivalent to laparoscopic approach for patients with colon cancer. It is an alternative to the laparoscopic approach in selected patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Jayne DG, Thorpe HC, Copeland J, et al. Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer. Br J Surg. 2010;97:1638–45.

    Article  CAS  PubMed  Google Scholar 

  2. Clinical Outcomes of Surgical Therapy Study G. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9.

    Article  Google Scholar 

  3. Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2005;6:477–84.

    Article  PubMed  Google Scholar 

  4. Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365:1718–26.

    Article  PubMed  Google Scholar 

  5. Lacy AM, Garcia-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet. 2002;359:2224–9.

    Article  PubMed  Google Scholar 

  6. Avital S, Hermon H, Greenberg R, et al. Learning curve in laparoscopic colorectal surgery: our first 100 patients. Isr Med Assoc J. 2006;8:683–6.

    PubMed  Google Scholar 

  7. Li JC, Leung KL, Ng SS, et al. Laparoscopic-assisted versus open resection of right-sided colonic cancer--a prospective randomized controlled trial. Int J Color Dis. 2012;27:95–102.

    Article  Google Scholar 

  8. Baik SH, Gincherman M, Mutch MG, et al. Laparoscopic vs open resection for patients with rectal cancer: comparison of perioperative outcomes and long-term survival. Dis Colon rectum. 2011;54:6–14.

  9. Hsu TC. Feasibility of colectomy with mini-incision. Am J Surg. 2005;190:48–50.

    Article  PubMed  Google Scholar 

  10. Takegami K, Kawaguchi Y, Nakayama H, et al. Minilaparotomy approach to colon cancer. Surg Today. 2003;33:414–20.

    Article  PubMed  Google Scholar 

  11. Nakagoe T, Sawai T, Tsuji T, et al. Colectomy for colon cancer via a 7-cm minilaparotomy. Surg Today. 2001;31:1113–5.

    Article  CAS  PubMed  Google Scholar 

  12. Nakagoe T, Sawai T, Tsuji T, et al. Early outcome after minilaparotomy for the treatment of rectal cancer. Eur J Surg. 2001;167:705–10.

    Article  CAS  PubMed  Google Scholar 

  13. Fleshman JW, Fry RD, Birnbaum EH, et al. Laparoscopic-assisted and minilaparotomy approaches to colorectal diseases are similar in early outcome. Dis Colon rectum. 1996;39:15–22.

  14. Hewett PJ, Allardyce RA, Bagshaw PF, et al. Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial. Ann Surg. 2008;248:728–38.

    Article  PubMed  Google Scholar 

  15. Nakagoe T, Tsuji T, Sawai T, et al. Minilaparotomy may be independently associated with reduction in inflammatory responses after resection for colorectal cancer. Eur Surg Res. 2003;35:477–85.

    Article  CAS  PubMed  Google Scholar 

  16. Nakagoe T, Matsuo T, Nakamura S, et al. Risk factors preventing success of a minilaparotomy approach in the resection of colorectal cancer. Dig Surg. 2009;26:236–42.

    Article  PubMed  Google Scholar 

  17. Ishida H, Nakada H, Yokoyama M, et al. Minilaparotomy approach for colonic cancer: initial experience of 54 cases. Surg Endosc. 2005;19:316–20.

    Article  CAS  PubMed  Google Scholar 

  18. Cheng TO. Chinese body mass index is much lower as a risk factor for coronary artery disease. Circulation. 2004;109:e184. author reply e184

    Article  PubMed  Google Scholar 

  19. Menzies D, Ellis H. Intestinal obstruction from adhesions—how big is the problem? Ann R Coll Surg Engl. 1990;72:60–3.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Beck DE, Ferguson MA, Opelka FG, et al. Effect of previous surgery on abdominal opening time. Dis Colon rectum. 2000;43:1749–53.

  21. Ranatunga KS, Fernando MA, Silva MA, et al. Use of minilaparotomy in the treatment of colonic cancer (Br J Surg 2001;88:831-6). Br J Surg. 2002;89:247–8.

    Article  CAS  PubMed  Google Scholar 

  22. Scheidbach H, Schneider C, Konradt J, et al. Laparoscopic abdominoperineal resection and anterior resection with curative intent for carcinoma of the rectum. Surg Endosc. 2002;16:7–13.

    Article  CAS  PubMed  Google Scholar 

  23. Morino M, Parini U, Giraudo G, et al. Laparoscopic total mesorectal excision: a consecutive series of 100 patients. Ann Surg. 2003;237:335–42.

    PubMed  PubMed Central  Google Scholar 

  24. Ng SS, Leung KL, Lee JF, et al. Laparoscopic-assisted versus open abdominoperineal resection for low rectal cancer: a prospective randomized trial. Ann Surg Oncol. 2008;15:2418–25.

    Article  PubMed  Google Scholar 

  25. Jayne DG, Guillou PJ, Thorpe H, et al. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC trial group. J Clin Oncol. 2007;25:3061–8.

    Article  PubMed  Google Scholar 

  26. Furstenberg S, Goldman S, Machado M, et al. Minilaparotomy approach to tumors of the right colon. Dis Colon rectum. 1998;41:997–9.

Download references

Author information

Authors and Affiliations

  1. The First Department of General Surgery, Institute of Hepatobiliary, Pancreas and Intestinal Disease, The Affiliated Hospital of North Sichuan Medical College, No. 63, Wenhua Road, Nanchong, Sichuan Province, 637000, China

    Zuoliang Liu, Tong Zhou, Guodong Yang & Guangjun Zhang

Authors
  1. Zuoliang Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tong Zhou
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Guodong Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Guangjun Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tong Zhou.

Ethics declarations

Funding

None.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was approved by the ethics committee of the Affiliated Hospital of North Sichuan Medical College.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, Z., Zhou, T., Yang, G. et al. Comparison of Clinical Outcomes Between Laparoscopic-Assisted and Minilaparotomy Approaches for Colon Cancer. J Gastrointest Canc 49, 158–166 (2018). https://doi.org/10.1007/s12029-017-9923-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12029-017-9923-z

Keywords

Search

Navigation