Minimally invasive surgery in colon cancer patients leads to improved short-term outcomes and excellent oncologic results.

Abstract

BACKGROUND:

Minimally invasive surgery (MIS) techniques are beneficial compared with open techniques. There is a paucity of data of the potential advantages of MIS in colon cancer surgery for veterans. Therefore, we hypothesize that use of MIS in colon cancer resections in a Veterans Affairs Medical Center will lead to improved short-term outcomes without compromising oncologic outcomes.

METHODS:

A retrospective analysis of a prospectively maintained database was performed. We compared surgical, short-term, and oncologic outcomes in MIS versus open surgery.

RESULTS:

MIS patients had significantly less blood loss, surgical time, days to return of bowel function, and hospital and intensive care unit stays. Also, they had a greater and more adequate lymphadenectomy, and were less likely to experience a postoperative complication. Survival analyses showed no difference in overall and disease-free survival.

CONCLUSIONS:

The use of MIS in colon cancer leads to improved short-term outcomes and similar oncologic outcomes when compared with open surgery.

• Authors: Sonia T Orcutt, Christy L Marshall, Celia N Robinson, Courtney J Balentine, Daniel A Anaya, Avo Artinyan, Samir S Awad, David H Berger, Daniel Albo
• Journal: American journal of surgery (Am J Surg) Vol. 202 Issue 5 Pg. 528-31 (Nov 2011) ISSN: 1879-1883 [Electronic] United States
• PMID: 21906721 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Blood Loss, Surgical
• Colonic Neoplasms (surgery)
• Female
• Humans
• Laparoscopy
• Length of Stay (statistics & numerical data)
• Lymph Node Excision
• Male
• Recovery of Function
• Retrospective Studies
• Time Factors