Abstract
Background: The role of laparoscopic colon resection in the management of colon cancer is unclear. The aims of this study were to compare perioperative results and long-term outcomes in patients randomized to either open (O) or laparoscopically assisted (LA) colon resection for colon cancer.
Methods: A prospective randomized trial comparing O to LA colon resection was conducted from January 1993 to November 1995. Preoperative workup, intraoperative results, complications, length of stay, pathologic findings, and long-term outcomes were compared between the two groups. Statistical analysis was performed with t-test. Follow-up periods ranged from 3.5 to 6.3 years (mean, 4.9 years).
Results: No port-site or abdominal wall recurrences were noted in any patients.
Conclusions: These results suggest that laparoscopically assisted colon resection for malignant disease can be performed safely, with morbidity, mortality, and en bloc resections comparable with those of open laparotomy. Long-term (5-year) follow-up assessment shows similar outcomes in both groups of patients, demonstrating definite perioperative advantages with LA surgery and no perioperative or long-term disadvantages.
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Received: 18 May 1999/Accepted: 7 December 1999/Online publication: 4 August 2000
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Curet, M., Putrakul, K., Pitcher, D. et al. Laparoscopically assisted colon resection for colon carcinoma. Surg Endosc 14, 1062–1066 (2000). https://doi.org/10.1007/s004640000092
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DOI: https://doi.org/10.1007/s004640000092