Surgical Endoscopy

, Volume 14 , Issue 11 , pp 1062 –1066 | Cite as

Laparoscopically assisted colon resection for colon carcinoma

Perioperative results and long-term outcome
  • M. J.  Curet
  • K.  Putrakul
  • D. E.  Pitcher
  • R. K.  Josloff
  • K. A.  Zucker

Abstract

Background: The role of laparoscopic colon resection in the management of colon cancer is unclear. The aims of this study were to compare perioperative results and long-term outcomes in patients randomized to either open (O) or laparoscopically assisted (LA) colon resection for colon cancer.

Methods: A prospective randomized trial comparing O to LA colon resection was conducted from January 1993 to November 1995. Preoperative workup, intraoperative results, complications, length of stay, pathologic findings, and long-term outcomes were compared between the two groups. Statistical analysis was performed with t-test. Follow-up periods ranged from 3.5 to 6.3 years (mean, 4.9 years).

Results: No port-site or abdominal wall recurrences were noted in any patients.

Conclusions: These results suggest that laparoscopically assisted colon resection for malignant disease can be performed safely, with morbidity, mortality, and en bloc resections comparable with those of open laparotomy. Long-term (5-year) follow-up assessment shows similar outcomes in both groups of patients, demonstrating definite perioperative advantages with LA surgery and no perioperative or long-term disadvantages.

Key words: Colon cancer — Laparoscopic colon resection — Long-term outcome 

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Copyright information

© Springer-Verlag New York Inc. 2000

Authors and Affiliations

  • M. J.  Curet
    • 1
  • K.  Putrakul
    • 1
  • D. E.  Pitcher
    • 1
  • R. K.  Josloff
    • 2
  • K. A.  Zucker
    • 3
  1. 1.Department of Surgery, University of New Mexico School of Medicine, University of New Mexico Health Science Center, 2211 Lomas Boulevard, NE, Albuquerque, NM 87131-5341, USAUS
  2. 2.Abington Hospital, Abington, PA 19001, USAUS
  3. 3.Phoenix, AZ, USAUS

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