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Laparoscopic resection of colon Cancer: Consensus of the European Association of Endoscopic Surgery (EAES)

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Abstract

Background

The European Association of Endoscopic Surgery (EAES) initiated a consensus development conference on the laparoscopic resection of colon cancer during the annual congress in Lisbon, Portugal, in June 2002.

Methods

A systematic review of the current literature was combined with the opinions, of experts in the field of colon cancer surgery to formulate evidence-based statements and recommendations on the laparoscopic resection of colon cancer.

Results

Advanced age, obesity, and previous abdominal operations are not considered absolute contraindications for laparoscopic colon cancer surgery. The most common cause for conversion is the presence of bulky or invasive tumors. Laparoscopic operation takes longer to perform than the open counterpart, but the outcome is similar in terms of specimen size and pathological examination. Immediate postoperative morbidity and mortality are comparable for laparoscopic and open colonic cancer surgery. The laparoscopically operated patients had less postoperative pain, better-preserved pulmonary function, earlier restoration of gastrointestinal function, and an earlier discharge from the hospital. The postoperative stress response is lower after laparoscopic colectomy. The incidence of port site metastases is <1%. Survival after laparoscopic resection of colon cancer appears to be at least equal to survival after open resection. The costs of laparoscopic surgery for colon cancer are higher than those for open surgery.

Conclusion

Laparoscopic resection of colon cancer is a safe and feasible procedure that improves short-term outcome. Results regarding the long-term survival of patients enrolled in large multicenter trials will determine its role in general surgery.

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Authors and Affiliations

  1. Department of General Surgery, Erasmus MC, P. O. Box 2040, 3000, Rotterdam, CA, The Netherlands

    R. Veldkamp, M. Gholghesaei, H. J. Bonjer, D. W. Meijer, M. Buunen, J. Jeekel & J. J. Jakimowicz

  2. Department of Surgery, University of Linköping, Sweden

    B. Anderberg

  3. Department of Surgery, VU Medical Center, Amsterdam, The Netherlands

    M. A. Cuesta

  4. University Department of Surgery, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom

    A. Cuschierl

  5. Department of Surgery, Centre Hospitalier Intercommunal, Polssy, France

    A. Fingerhut

  6. Division of General Surgery, Washington University, St. Louis, MO, USA

    J. W. Fleshman

  7. Academic Surgical Unit, St. James’s University Hospital, Leeds, England, United Kingdom

    P. J. Guillou

  8. Department of Surgery, Sahlgrenska University Hospital, Goteborg, Sweden

    E. Haglind

  9. Department of Thoracic, Abdominal, and Minimally Invasive Surgery, Saint Blasius General Hospital, Dendermonde, Belgium

    J. Himpens

  10. Department of Surgery, Humboldt University of Berlin, Charité Campus Mitte, Berlin, Germany

    C. A. Jacobi

  11. Department of Surgery and Center for Minimally Invasive Surgery, Hannover Hospital, Hannover, Germany

    F. Koeckerling

  12. Department of Surgery, Hospital Clinic i Provincial, Barcelona, Spain

    A. M. Lacy

  13. Department of Surgery, University of Rome, Rome, Italy

    E. Lezoche

  14. Academic Surgical Unit, The University of Hull, Castle Hill Hospital, Cottingham, England, United Kingdom

    J. R. Monson

  15. Department of Surgery, University of Turin, Turin, Italy

    M. Morino

  16. Biochemical and Experimental Division, 2nd Department of Surgery, University of Cologne, Cologne, Germany

    E. Neugebauer

  17. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

    S. D. Wexner

  18. Section of Colon and Rectal Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA

    R. L. Whelan

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  1. R. Veldkamp
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  2. M. Gholghesaei
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  3. H. J. Bonjer
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  4. D. W. Meijer
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  5. M. Buunen
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  6. J. Jeekel
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  7. B. Anderberg
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  13. E. Haglind
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  15. C. A. Jacobi
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  16. J. J. Jakimowicz
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  17. F. Koeckerling
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  18. A. M. Lacy
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  19. E. Lezoche
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  20. J. R. Monson
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  21. M. Morino
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  22. E. Neugebauer
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  23. S. D. Wexner
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  24. R. L. Whelan
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Veldkamp, R., Gholghesaei, M., Bonjer, H.J. et al. Laparoscopic resection of colon Cancer: Consensus of the European Association of Endoscopic Surgery (EAES). Surg Endosc 18, 1163–1185 (2004). https://doi.org/10.1007/s00464-003-8253-3

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  • DOI: https://doi.org/10.1007/s00464-003-8253-3

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