Laparoscopy for colon cancer: State of the art

Gaetano Luglio, Heidi Nelson

Research output: Contribution to journalReview article

27 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)777-791
Number of pages15
JournalSurgical Oncology Clinics of North America
Volume19
Issue number4
DOIs
StatePublished - Oct 1 2010

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Keywords

  • Cancer
  • Colectomy
  • Colon
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery
  • Oncology

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