Abstract
PURPOSE: Since 1991, a laparoscopic-assisted resection has been used at the Royal Brisbane Hospital selectively for patients with colorectal cancer. This article audits the intermediate to long-term postoperative complications and cancer follow-up data. METHODS: All patients undergoing a laparoscopic resection for cancer were prospectively followed up with regard to long-term outcomes. RESULTS: One hundred eighty-one patients have been studied. One hundred fifty-four patients had potentially curative procedures performed in the study period. Median follow up was 71 (range, 7–108) months. The overall recurrence rate in this group was 6 percent (21 recurrences). There was one port site recurrence after a potentially curative procedure (0.6 percent) and one port site recurrence after a palliative resection. Perioperative mortality was 1 percent (2 patients). Only six patients suffered an adhesive small-bowel obstruction postoperatively. There was one incisional hernia. Unadjusted five-year median survival data for Australian Clinico-pathological Staging A was 91 percent (3.5 percent recurrence); for Australian Clinico-pathological Staging B, 83 percent (15 percent recurrence); and for Australian Clinico-pathological Staging C, 74 percent (26 percent recurrence). CONCLUSION: In selected patients a laparoscopic resection for colorectal cancer produces acceptable intermediate to long-term oncologic outcomes and a low long-term complication rate.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
JW Lumley GA Fielding M Rhodes LK Nathanson S Siu RW Stitz (1996) ArticleTitleLaparoscopic-assisted colorectal surgery Dis Colon Rectum 39 155–159
AR Stevenson RW Stitz JW Lumley GA Fielding (1998) ArticleTitleLaparoscopic surgery for diverticular disease Ann Surg 227 335–342
MA Fusco MW Paluzzi (1993) ArticleTitleAbdominal wall recurrence after laparoscopic-assisted colectomy for adenocarcinoma of the colon Dis Colon Rectum 36 858–861
SD Wexner SM Cohen (1995) ArticleTitlePort site metastases after laparoscopic colorectal surgery for cure of malignancy Br J Surg 82 295–298
JM Ramos S Gupta GJ Anthone et al. (1994) ArticleTitleLaparoscopy and colon cancer Arch Surg 129 897–899
NC Davis RC Newland (1983) ArticleTitleTerminology and classification of colorectal adenocarcinoma The Australian Clinico-pathological Staging System Aust N Z J Surg 53 211–221
ME Franklin D Rosenthal . Abrego-Medina et al. (1996) ArticleTitleProspective comparison of open vs laparoscopic colon surgery for carcinoma Dis Colon Rectum 39 35–46
TH Schiedeck O Schwander I Baca et al. (2000) ArticleTitleLaparoscopic surgery for the cure of colorectal cancer Dis Colon Rectum 43 1–8
AM Lacy JC Garcia-Valdecasas JM Pique et al. (1995) ArticleTitleShort-term outcome analysis of a randomised study comparing laparoscopic vs open colectomy for colon cancer Surg Endosc 9 1101–1105
JW Milsom B Bohm KA Hammerhofer V Fazio E Steiger P Elson (1998) ArticleTitleA prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery J Am Coll Surg 187 46–54
DG Begos J Arsenault GH Ballantyne (1996) ArticleTitleLaparoscopic colon and rectal surgery at a VA hospital Surg Endosc 10 1050–1056
JM Ramos RW Beart SuffixJr R Goes AE Ortega RT Schlinkert (1995) ArticleTitleRole of laparoscopy in colorectal surgery Dis Colon Rectum 38 494–501
RA Allardyce P Morreau PF Bagshaw (1997) ArticleTitleOperative factors affecting tumor cell distribution following laparoscopic colectomy in a porcine model Dis Colon Rectum 40 939–945
A Luck C Hensman P Hewett (1998) ArticleTitleLaparoscopic colectomy for cancer Aust N Z J Surg 68 318–327
PM Hewitt SM Ip SP Kwok et al. (1998) ArticleTitleLaparoscopic-assisted vs. open surgery for colorectal cancer Dis Colon Rectum 41 901–909
JD Allendorf M Bessler RL Whelan et al. (1996) ArticleTitleBetter preservation of immune function after laparoscopic-assisted vs. open bowel resection in a murine model Dis Colon Rectum 39 67–72
JW Fleshman H Nelson WR Peters et al. (1996) ArticleTitleEarly results of laparoscopic surgery for colorectal cancer Dis Colon Rectum 39 53–58
SA Lord SW Larach A Ferrara et al. (1996) ArticleTitleLaparoscopic resections for colorectal cancer Dis Colon Rectum 39 148–154
SP Kwok WY Lau PD Carey et al. (1996) ArticleTitleProspective evaluation of laparoscopic-assisted large bowel excision for cancer Ann Surg 223 170–176
O Reissman S Cohen EG Weiss SD Wexner (1996) ArticleTitleLaparoscopic colorectal surgery World J Surg 20 277–282
JD Wishner JW Baker GC Hoffman et al. (1995) ArticleTitleLaparoscopic-assisted colectomy Surg Endosc 20 1179–1183
JP McDermott DA Devereaux PF Caushaj (1994) ArticleTitlePitfall of laparoscopic colectomy Dis Colon Rectum 37 602–603
JR Monson A Darzi PD Carey et al. (1992) ArticleTitleProspective evaluation of laparoscopic colectomy in an unselected group of patients Lancet 340 831–833
DT Lam KH Kwong CW Lam HT Leong SP Kwok (1998) ArticleTitleHow useful is colonoscopy in locating colorectal lesions? Surg Endosc 12 839–841
AJ Luck ML Thomas WE Roediger PJ Hewett (1999) ArticleTitleLocalization of the nonpalpable colonic lesion with intraoperative ultrasound Surg Endosc 13 526–527
K Kitamura T Yamane T Oyama et al. (1995) ArticleTitleRapid and accurate method for delineating cancer lesions in laparoscopic colectomy using activated carbon injection J Surg Oncol 58 31–34
Author information
Authors and Affiliations
About this article
Cite this article
Lumley, J., Stitz, R., Stevenson, A. et al. Laparoscopic Colorectal Surgery for Cancer. Dis Colon Rectum 45, 867–872 (2002). https://doi.org/10.1007/s10350-004-6318-6
Issue Date:
DOI: https://doi.org/10.1007/s10350-004-6318-6