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.
Original language | English (US) |
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Pages (from-to) | 528-531 |
Number of pages | 4 |
Journal | American journal of surgery |
Volume | 202 |
Issue number | 5 |
DOIs | |
State | Published - Nov 2011 |
Externally published | Yes |
Keywords
- Colon cancer
- Hand-assisted laparoscopy
- Minimally invasive
- Outcomes
- Survival
ASJC Scopus subject areas
- Surgery