Laparoscopic colectomy for colon cancer: Trial update

Luca Stocchi, Heidi Nelson

Research output: Contribution to journalReview article

103 Scopus citations

Abstract

Laparoscopic colon surgery is gaining acceptance for benign conditions, but cannot yet be considered an established procedure for malignancy. The main reported benefit of the technique is the reduction in length of hospital stay. Other potential benefits such as cosmesis, improvement in quality of life, physiologic and immunologic advantages, as well as reduced complication rates have not been clearly demonstrated. Concerns about laparoscopic colon surgery for cancer including the possibility of inadequate resection, tumor staging, and altered tumor spread due to pneumoperitoneum have only been partially addressed by retrospective and experimental studies and require a prospective randomized trial for definitive resolution. Details of the trial currently underway sponsored by the National Institutes of Health are described. Although innovations in clinical practice and increased familiarity account for the expanding popularity of laparoscopic colon surgery, results from this and similar worldwide trials are needed before this approach can be recommended for cancer.

Original languageEnglish (US)
Pages (from-to)255-267
Number of pages13
JournalJournal of Surgical Oncology
Volume68
Issue number4
DOIs
StatePublished - Aug 1 1998

Keywords

  • Colorectal neoplasm
  • Laparoscopy
  • Learning curve
  • Length of hospital stay
  • Surgical complications

ASJC Scopus subject areas

  • Surgery
  • Oncology

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