TY - JOUR
T1 - Laparoscopy for colon cancer
T2 - State of the art
AU - Luglio, Gaetano
AU - Nelson, Heidi
PY - 2010/10
Y1 - 2010/10
N2 - As a result of several years of trials and investigations, laparoscopic colectomy for colon cancer is now considered an acceptable and safe alternative to traditional open techniques. Four large randomized trials (Barcelona, COST, COLOR, CLASSIC) have shown the noninferiority of laparoscopic colectomy in overall survival, disease-free survival, and overall and local recurrences. Laparoscopic surgery is associated with better short-term outcomes, such as shorter hospital stay, shorter duration of ileus, less narcotic usefulness and postoperative pain, and a faster postoperative recovery. The procedures are also safe and feasible in elderly patients. Hand-assisted laparoscopic colectomy is a recent hybrid technique that could reduce learning time, and its role has been established in more challenging procedures. Future prospects include robotic and natural-orifice surgery.
AB - As a result of several years of trials and investigations, laparoscopic colectomy for colon cancer is now considered an acceptable and safe alternative to traditional open techniques. Four large randomized trials (Barcelona, COST, COLOR, CLASSIC) have shown the noninferiority of laparoscopic colectomy in overall survival, disease-free survival, and overall and local recurrences. Laparoscopic surgery is associated with better short-term outcomes, such as shorter hospital stay, shorter duration of ileus, less narcotic usefulness and postoperative pain, and a faster postoperative recovery. The procedures are also safe and feasible in elderly patients. Hand-assisted laparoscopic colectomy is a recent hybrid technique that could reduce learning time, and its role has been established in more challenging procedures. Future prospects include robotic and natural-orifice surgery.
KW - Cancer
KW - Colectomy
KW - Colon
KW - Laparoscopy
UR - http://www.scopus.com/inward/record.url?scp=77957163749&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957163749&partnerID=8YFLogxK
U2 - 10.1016/j.soc.2010.07.003
DO - 10.1016/j.soc.2010.07.003
M3 - Review article
C2 - 20883953
AN - SCOPUS:77957163749
SN - 1055-3207
VL - 19
SP - 777
EP - 791
JO - Surgical Oncology Clinics of North America
JF - Surgical Oncology Clinics of North America
IS - 4
ER -