Laparoscopic resection of the colon and rectum for cancer.
BACKGROUND
Laparoscopically-assisted resection for large bowel cancer is technically feasible. Sixty-six patients who had resection of the colon or rectum for cancer have been audited prospectively.


METHODS
Clinical and pathological data were collected prospectively as part of the ongoing Concord Hospital colorectal cancer project. Patients were followed up for a median of 29 months.


RESULTS
In 57 of 66 patients in whom laparoscopic resection was attempted the operation was completed laparoscopically. Three patients died from perioperative myocardial infarction. The median postoperative stay was 14 days. There was a high incidence of postoperative respiratory and cardiac complications. One patient developed a port-site metastasis.


CONCLUSIONS
There was no obvious benefit from laparoscopically-assisted resection of large bowel cancer in these patients.
Bokey
E L
EL
University of Sydney Department of Colon, Concord Hospital, New South Wales, Australia.
Moore
J W
JW
Keating
J P
JP
Zelas
P
P
Chapuis
P H
PH
Newland
R C
RC
D000368:Aged; D003082:Colectomy / Q000009:adverse effects / Q000379:methods; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D009366:Neoplasm Seeding; D012140:Respiratory Tract Diseases / Q000209:etiology