Clinical, pathologic, and economic parameters of laparoscopic colon resection for cancer.


Journal Article

BACKGROUND: The appropriateness of laparoscopic colon resection (LCR) as treatment for malignancy has been questioned. METHODS: From 1992 to 1997, 91 patients were entered into a prospective study of LCR for cancer. Clinical, pathologic, and economic parameters of LCR were compared in a cohort of patients matched for age, tumor stage, and type of colectomy who underwent open colon resection (OCR) during the same time period. RESULTS: With a median follow-up of 26 months, there were no significant differences in survival rate for patients in the LCR, converted colon resection, and OCR groups. There were no port-site recurrences and the number of lymph nodes harvested was similar among the procedures. Hospital stay was significantly shorter if laparoscopic resection was successful. Total hospital costs were similar for LCR and OCR; however, the costs were significantly higher for converted colon resection. CONCLUSIONS: LCR is a sound oncologic procedure that can be performed with costs similar to OCR.

Full Text

Duke Authors

Cited Authors

  • Bouvet, M; Mansfield, PF; Skibber, JM; Curley, SA; Ellis, LM; Giacco, GG; Madary, AR; Ota, DM; Feig, BW

Published Date

  • December 1998

Published In

Volume / Issue

  • 176 / 6

Start / End Page

  • 554 - 558

PubMed ID

  • 9926789

Pubmed Central ID

  • 9926789

International Standard Serial Number (ISSN)

  • 0002-9610


  • eng

Conference Location

  • United States