Skip Navigation LinksHome > October 1996 - Volume 39 - Issue 10 > Prospective comparison of open vs. laparoscopic colon surger...
Diseases of the Colon & Rectum:
doi: 10.1007/BF02053804
Original Contributions: PDF Only

Prospective comparison of open vs. laparoscopic colon surgery for carcinoma: Five-year results.

Franklin, Morris E. Jr. M.D.; Rosenthal, Daniel M.D.; Abrego-Medina, Daniel M.D.; Dorman, James P. M.D.; Glass, Jeffrey L. M.D.; Norem, Richard M.D.; Diaz, Antonio M.D.

Collapse Box

Abstract

: Laparoscopy for colonic diseases began in 1990 and has established a role in benign disease. Early observations and experiences demonstrated feasibility of laparoscopic surgery for a variety of colonic disease processes, but the applicability to colonic carcinoma was unclear.

METHODS: In 1990, we began a comparative study of open (OCR) vs. laparoscopic (LCR) approach to colon cancer. The study progressed 65 months, with 224 patients in OCR group and 191 patients in LCR group. Parameters studied are stage, location, length of specimen, number of lymph nodes resected, margins, postoperative course, wound complications, recurrence rates, and immediate and long-term survival. OCR were standardized by one group, and LCR were standardized by a second group. All patients undergoing LCR were given freedom to choose either OCR or LCR, and informed consent was obtained.

RESULTS: Equal or greater lymph node retrieval, resections, and distal margins were evident with LCR. Benefits with LCR were shown with shorter hospitalization (5.7 vs. 9.7 days), less blood loss, less wound problems (1 vs. 14), and quicker return of bowel function. Survival, recurrence, and death rates were essentially the same. There were no trocar implants in the LCR group.

CONCLUSION: After five years, this study shows that laparoscopy does no harm to the patient, offers comparable oncologic resections, and seems to be patient-friendly, with less pain, quicker return of bowel functions, shortened hospitalization, and quicker return to full activity.

(C) The ASCRS 1996

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.