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Outcomes After Laparoscopic Colorectal Cancer Surgery

  • Wolfgang Schwenk

Conclusions

Our systematic review showed significant benefits of the laparoscopic technique: Less blood loss, shorter hospital stay, shorter ileus, less morbidity, and less wound infections. However, perioperative treatment of both groups was traditional in almost all RCTs under investigation. Modern multimodal concepts of perioperative treatment may improve the postoperative course regardless of the type of access to the abdominal cavity used.

Long-term outcomes (e.g., survival, recurrence, and complications such as adhesive obstructions and hernias) after curative laparoscopic or conventional resection of colorectal cancer cannot be assessed with adequate accuracy because results from larger multicenter trials are not yet available. Within the next 3 to 5 years, several multicenter randomized controlled studies from the United Kingdom (CLASSICC trial), Europe (COLOR and LAPKON II trials), and Japan (JCOG trial) will deliver data on long-term outcomes of more than 2000 additional patients.

Keywords

Risk Ratio Laparoscopic Group Weighted Mean Difference Conventional Surgery Postoperative Ileus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Wolfgang Schwenk
    • 1
  1. 1.Department of General, Visceral, Vascular and Thoracic SurgeryCharité University of Medicine Berlin Campus MitteBerlinGermany

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