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Laparoscopic colectomy for cancer

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Journal of Gastrointestinal Surgery

Abstract

Laparoscopic segmental colectomy has been widely accepted as a surgical procedure for benign colonic disease. With improving technology and surgeon experience, more complex procedures have been performed. However, a minimal invasive approach may not be justified for all colonic diseases. The use of laparoscopic surgery for colonic cancer, for example, has been controversial and the results of our national and international trials are yet unknown. We anticipate, given the positive findings of multiple small randomized and nonrandomized trials, that laparoscopic colectomy for cancer may soon prove to be appropriate in this setting. Our aim in this paper is to explore the indications, contraindications, and techniques regarding laparoscopic surgery that we have used in the treatment of colon cancer for patients enrolled in the national trial.

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References

  1. Belchetz LA, Berk T, Bapat BV, Cohen Z, Gallinger S. Changing causes of mortality in patients with familial adenomatous polyposis. Dis Colon Rectum 1996;39:384–387.

    Article  PubMed  CAS  Google Scholar 

  2. Arvanitis ML, Jagelman DG, Fazio VW, Lavery IC, McGannon E. Mortality in patients with familial adenomatous polyposis. Dis Colon Rectum 1990;33:639–642.

    Article  PubMed  CAS  Google Scholar 

  3. Ranzi T, Campanini MC, Velio P, Bianchi PA. Long-term follow-up of upper gastrointestinal tract polyps in 15 patients with familial adenomatous polyposis and Gardner’s syndrome. Gastroenterology 1989;96(Suppl):A407.

    Google Scholar 

  4. Church JM, McGannon E, Hull-Boiner S, Sivak MV, Van Stolk R, Jagelman DG, Fazio VW, Oakley JR, Lavery IC, Milsom JW. Gastroduodenal polyps in patients with familial adenomatous polypsis. Dis Colon Rectum 1992;35:1170–1173.

    Article  PubMed  CAS  Google Scholar 

  5. Heiskanen I, Kellokumpu I, Jarvinen H. Management of duodenal adenomas in 98 patients with familial adenomatous polyposis. Gastrointest Endosc 2001;53:265–266.

    Google Scholar 

  6. Bleau BL, Gostout CJ. Endoscopic treatment of ampullary adenomas in familial adenomatous polyposis. J Clin Gastroenterol 1996;22:237–241.

    Article  PubMed  CAS  Google Scholar 

  7. Tonelli F, Nardi F, Bechi P, Taddei G, Gozzo P, Romagnoli P. Extracolonic polyps in familial polyposis coli and Gardner’s syndrome. Dis Colon Rectum 1985;28:664–668.

    Article  PubMed  CAS  Google Scholar 

  8. Spigelman AD, Williams CB, Talbot IC, Domizio P, Phillips RK. Upper gastrointestinal cancer in patients with familial adenomatous polyposis. Lancet 1989;2:783–785.

    Article  PubMed  CAS  Google Scholar 

  9. Vitale GC, Zavaleta CM. Endoscopic retrograde cholangiopancreatography for surgeons. Semin Laparosc Surg 2003;10:19–27.

    PubMed  Google Scholar 

  10. ReedDNJr, Vitale GC. Interventional endoscopic retrograde cholangiopancreatography and endoscopic surgery. Surg Clin North Am 2000;80:1171–1201.

    Article  PubMed  Google Scholar 

  11. Vitale GC, Rangneker NJ, Hewlett SC. Advanced interventional endoscopy. Curr Probl Surg 2002;39:968–1053.

    Article  PubMed  Google Scholar 

  12. Kashiwagi H, Spigelman AD, Debinski HS, Talbot IC, Phillips RK. Surveillance of ampullary adenomas in familial adenomatous polyposis. Lancet 1994;334:1582.

    Article  Google Scholar 

  13. Björk J, Åkerbrant H, Iselius L, Bergman A, Engwall Y, WahlströmJ, Martinsson T, Nordling M, Hultcrantz R. Periampullary adenomas and adenocarcinoma in familial adenomatous polyposis: Cumulative risks and APC gene mutations. Gastroenterology 2001;121:1127–1135.

    Article  PubMed  Google Scholar 

  14. Moozar KL, Madlensky L, Berk T, Gallinger S. Slow progression of periampullary neoplasia in familial adenomatous polyposis. J GASTROINTEST SURG 2002;6:831–837.

    Article  PubMed  Google Scholar 

  15. Offerhaus GJA, Giardiello FM, Krush AJ, Booker SV, Tersmette AC, Kelley C, Hamilton SR. The risk of upper gastrointestinal cancer in familial adenomatous polyposis. Gastroenterology 1992;102:1980–1982.

    PubMed  CAS  Google Scholar 

  16. Jagelman DG, DeCosse JJ, Bussey HJR. Upper gastrointestinal cancer in familial adenomatous polyposis. Lancet 1988;1:1149–1150.

    Article  PubMed  CAS  Google Scholar 

  17. Groves CJ, Saunders BP, Spigelman AD, Phillips RKS. Duodenal cancer in patients with familial adenomatous polyposis (FAP): Results of a 10 year prospective study. Gut 2002;50:636–641.

    Article  PubMed  CAS  Google Scholar 

  18. Penna C, Bataille N, Balladur P, Tiret E, Parc R. Surgical treatment of severe duodenal polyposis in familial adenomatous polyposis. Br J Surg 1998;85:665–668.

    Article  PubMed  CAS  Google Scholar 

  19. Penna C, Phillips RKS, Tiret E, Spigelman AD. Surgical polypectomy of duodenal adenomas in familial adenomatous polyposis: Experience of two European centers. Br J Surg 1993;80:1027–1029.

    Article  PubMed  CAS  Google Scholar 

  20. Burke CA, Beck GJ, Church JM, van Stolk RU. The natural history of untreated duodenal and ampullary adenomas in patients with familial adenomatous polyposis followed in an endoscopic surveillance program. Gastrointest Endosc 1999; 49:358–364.

    Article  PubMed  CAS  Google Scholar 

  21. Iida M, Yao T, Itoh H, Watanabe H, Matsui T, Iwashita A, Fujishima M. Natural history of duodenal lesions in Japanese patients with familial adenomatosis coli (Gardner’s syndrome). Gastroenterology 1989;96:1301–1306.

    PubMed  CAS  Google Scholar 

  22. Norton ID, Geller A, Petersen BT, Sorbi D, Gostout CJ. Endoscopic surveillance and ablative therapy for periampullary adenomas. Am J Gastroenterol 2001;96:101–106.

    Article  PubMed  CAS  Google Scholar 

  23. Soravia C, Berk T, Haber G, Cohen Z, Gallinger S. Management of advanced duodenal polyposis in familial adenomatous polyposis. J GASTROINTEST SURG 1997;1:474–478.

    Article  PubMed  CAS  Google Scholar 

  24. Wright BE, Kozarek RA, Traverso LW, Wechter D, Thirlby R, Raltz SL. Recurrent pancreatitis in Gardner variant familial polyposis: Etiology, diagnostic approach, and interventional results. Arch Surg 1999;134:311–315.

    Article  PubMed  CAS  Google Scholar 

  25. Shively EH, Heine MJ, Schell R, Sharpe JN, Garrison RN, Vallance SR, DeSimone K, Polk HC Jr. Practicing surgeons lead in quality care, safety, and cost control. Ann Surg (in press).

  26. Phillips RKS, Wallace MH, Lynch PM, Hawk E, Gordon GB, Saunders BP, Wakabayashi N, Shen Y, Zimmermann S, Godio L, Rodrigues-Bigas M, Su LK, Sherman J, Kelloff G, Levin B, Steinbach G. A randomised, double blind, placebo controlled study of celecoxib, a selective cyclooxygenase 2 inhibitor, on duodenal polyposis in familial adenomatous polyposis. Gut 2002;50:857–860.

    Article  PubMed  CAS  Google Scholar 

  27. Conio M, Gostout CJ. Comment on [management of duodenal adenomas in 98 patients with familial adenomatous polyposis]. Gastrointest Endosc 2001;53:265–266.

    PubMed  CAS  Google Scholar 

  28. Sarmiento JM, Thompson GB, Nagorney DM, Donohue JH, Farnell MB. Pancreas-sparing duodenectomy for duodenal polyposis. Arch Surg 2002;137:557–563.

    Article  PubMed  Google Scholar 

  29. Kalady MF, Clary BM, Tyler DS, Pappas TN. Pancreaspreserving duodenectomy in the management of duodenal familial adenomatous polyposis. JGASTROINTEST SURG 2002; 6:82–87.

    Article  Google Scholar 

  30. Ruo L, Coit DG, Brennan MF, Guillem JG. Long-term follow-up of patients with familial adenomatous polyposis undergoing pancreaticoduodenal surgery. J GASTROINTEST SURG 2002;6:671–675.

    Article  PubMed  Google Scholar 

  31. Huang JJ, Yeo CJ, Sohn TA, Lillemoe KD, Sauter PK, Coleman JA, Hruban RH, Cameron JL. Quality of life and outcomes after pancreaticoduodenectomy. Ann Surg 2000;231:890–898.

    Article  PubMed  CAS  Google Scholar 

  32. McLeod RS, Taylor BR, O’Connor BI, Greenberg GR, Jeejeebhoy KN, Royall D, Langer B. Quality of life, nutritional status, and gastrointestinal hormone profile following the Whipple procedure. Am J Surg 1995;169:179–185.

    Article  PubMed  CAS  Google Scholar 

  33. Saurin JC, Chayavialle JA, Ponchon T. Management of duodenal adenomas in familial adenomatous polyposis. Endoscopy 1999;31:472–478.

    Article  PubMed  CAS  Google Scholar 

  34. Clark SK, Phillips RKS. Desmoids in familial adenomatous polyposis. Br J Surg 1996;83:1494–1504.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

    David W. Larson M.D. & Heidi Nelson M.D. (Professor of Surgery)

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  1. David W. Larson M.D.
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  2. Heidi Nelson M.D.
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Correspondence to Heidi Nelson M.D..

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Larson, D.W., Nelson, H. Laparoscopic colectomy for cancer. J Gastrointest Surg 8, 636–642 (2004). https://doi.org/10.1016/j.gassur.2004.03.002

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