title: Laparoscopically assisted colon resection for colon carcinoma: perioperative results and long-term outcome.
abstract: BACKGROUND
  The role of laparoscopic colon resection in the management of colon cancer is unclear. The aims of this study were to compare perioperative results and long-term outcomes in patients randomized to either open (O) or laparoscopically assisted (LA) colon resection for colon cancer.
  
  
  METHODS
  A prospective randomized trial comparing O to LA colon resection was conducted from January 1993 to November 1995. Preoperative workup, intraoperative results, complications, length of stay, pathologic findings, and long-term outcomes were compared between the two groups. Statistical analysis was performed with t-test. Follow-up periods ranged from 3.5 to 6.3 years (mean, 4.9 years).
  
  
  RESULTS
  No port-site or abdominal wall recurrences were noted in any patients. [table: see text]
  
  
  CONCLUSIONS
  These results suggest that laparoscopically assisted colon resection for malignant disease can be performed safely, with morbidity, mortality, and en bloc resections comparable with those of open laparotomy. Long-term (5-year) follow-up assessment shows similar outcomes in both groups of patients, demonstrating definite perioperative advantages with LA surgery and no perioperative or long-term disadvantages.
authors: Department of Surgery, University of New Mexico School of Medicine, University of New Mexico Health Science Center, 2211 Lomas Boulevard, NE, Albuquerque, NM 87131-5341, USA.
authors: M J
authors: MJ
authors: Curet
authors: K
authors: K
authors: Putrakul
authors: D E
authors: DE
authors: Pitcher
authors: R K
authors: RK
authors: Josloff
authors: K A
authors: KA
authors: Zucker
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000601:surgery*; D003082:Colectomy / Q000379:methods* / Q000706:statistics & numerical data; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D011446:Prospective Studies; D016896:Treatment Outcome