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Am J Surg. 2011 Nov;202(5):528-31. doi: 10.1016/j.amjsurg.2011.06.024. Epub 2011 Sep 9.

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

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  • 1Department of Surgery, Division of Surgical Oncology, Baylor College of Medicine, 1709 Dryden, Suite 1500, Houston, TX 77030, USA.

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.

Copyright © 2011 Elsevier Inc. All rights reserved.

PMID:
21906721
[PubMed - indexed for MEDLINE]
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