Skip Navigation LinksHome > July 2002 - Volume 45 - Issue 7 > Laparoscopic Colorectal Surgery for Cancer: Intermediate to...
Diseases of the Colon & Rectum:
doi: 10.1007/s10350-004-6318-6
Original Contribution: PDF Only

Laparoscopic Colorectal Surgery for Cancer: Intermediate to Long-Term Outcomes.

Lumley, John F.R.A.C.S.; Stitz, Russell F.R.A.C.S.; Stevenson, Andrew F.R.A.C.S.; Fielding, George F.R.A.C.S.; Luck, Andrew F.R.A.C.S.

Collapse Box


PURPOSE: Since 1991, a laparoscopic-assisted resection has been used at the Royal Brisbane Hospital selectively for patients with colorectal cancer. This article audits the intermediate to long-term postoperative complications and cancer follow-up data.

METHODS: All patients undergoing a laparoscopic resection for cancer were prospectively followed up with regard to long-term outcomes.

RESULTS: One hundred eighty-one patients have been studied. One hundred fifty-four patients had potentially curative procedures performed in the study period. Median follow up was 71 (range, 7-108) months. The overall recurrence rate in this group was 6 percent (21 recurrences). There was one port site recurrence after a potentially curative procedure (0.6 percent) and one port site recurrence after a palliative resection. Perioperative mortality was 1 percent (2 patients). Only six patients suffered an adhesive small-bowel obstruction postoperatively. There was one incisional hernia. Unadjusted five-year median survival data for Australian Clinico-pathological Staging A was 91 percent (3.5 percent recurrence); for Australian Clinico-pathological Staging B, 83 percent (15 percent recurrence); and for Australian Clinico-pathological Staging C, 74 percent (26 percent recurrence).

CONCLUSION: In selected patients a laparoscopic resection for colorectal cancer produces acceptable intermediate to long-term oncologic outcomes and a low long-term complication rate.

(C) The ASCRS 2002


Article Tools


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.