Surgical Management of Colorectal Cancer in the Laparoscopic Era: A Review of Prospective Randomized Trials

Authors:
Mark Bloomston department of Surgery, The Ohio State University, Columbus, Ohio

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Henry Kaufman department of Surgery, The Ohio State University, Columbus, Ohio

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John Winston department of Surgery, The Ohio State University, Columbus, Ohio

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Mark Arnold department of Surgery, The Ohio State University, Columbus, Ohio

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Edward Martin department of Surgery, The Ohio State University, Columbus, Ohio

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Volume/Issue:
Volume 3: Issue 4
Online Publication Date:
Jul 2005
DOI:
https://doi.org/10.6004/jnccn.2005.0027
Full access

The benefits of laparoscopy in benign diseases are quite clear. Patients generally can expect smaller incisions, less narcotic usage, quicker return of bowel function, and shorter hospitalizations. The benefits of laparoscopy in oncologic surgery are less clear, and laparoscopic oncology surgery has many critics. Early reports of long surgical times, high operating room costs, and alarming rates of port-site recurrences after laparoscopic colectomy for colorectal cancer all but stopped this less-invasive approach outside the confines of clinical protocols. As the results of larger retrospective studies began to refute these earlier detrimental claims, prospective randomized trials began to take a foothold. In this article, we review these randomized trials with particular attention to the perioperative effects of laparoscopic colectomy and the short-term oncologic outcomes.

Correspondence: Edward Martin, MD, Professor of Surgery, The Ohio State University, N924 Doan Hall, 410 W. 10th Avenue, Columbus, OH 43210. E-mail: martin-4@medctr.osu.edu
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Print ISSN:
1540-1405
Online ISSN:
1540-1413
Publisher:
National Comprehensive Cancer Network
Cover Journal of the National Comprehensive Cancer Network
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Copyright:
Copyright © 2005 by the National Comprehensive Cancer Network 2005
Page Numbers:
8
Article Category:
Research Article
Received:
08 May 2005
Accepted:
17 Jun 2005
Print Publication Date:
01 Jul 2005
Online Publication Date:
Jul 2005
Keywords:
Colorectal carcinoma; colon cancer; laparoscopy; prospective randomized trial

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