Single center experience in laparoscopic colectomy for cancer

Abstract

SUMMARY
Objective: The application of laparoscopic colectomy for
colorectal carcinoma has been disputable regarding its efficacy
as an oncological procedure. The aim of this study
was to assess the early and long-term results of laparoscopic
colectomy for malignant disease. Method: Between 1990 and
1997, 243 patients underwent laparoscopic colectomy for
colon carcinoma, in our center. Morbidity and mortality
data were analyzed retrospectively along with disease-free
and overall patient survival. Results: Laparoscopic colectomy
was successfully completed in 216 of 243 patients (89%).
A perioperative morbidity rate of 22% and mortality rate of
1.4% were observed. The overall estimated 1, 2, 3, 5, and 7-
year survival rates were 92%, 82%, 74%, 65%, and 45%, respectively.
Only one case (<0.5%) with a trocar site recurrence
was observed in this series. There were no recurrences
at the wound extraction site, when the wound was protected.
The overall estimated 5- and 7-year disease-free
survival rates were 79% and 76%, respectively. Conclusion:
Laparoscopic colectomy for cancer can be performed safely
and effectively with perioperative morbidity, mortality
and survival rates comparable to open colon resection.
Key words: Laparoscopic surgery, colectomy, colorectal carcinoma