title: Establishment of a minimally invasive program at a Veterans' Affairs Medical Center leads to improved care in colorectal cancer patients.
abstract: BACKGROUND
  Despite significant advantages to patients, less than 5% of all colorectal surgeries for cancer are performed laparoscopically. A minimally invasive colorectal cancer program was created in our Veterans' Affairs hospital with the intent of increasing access and improving quality of patient care while maintaining patient safety and oncologic standards.
  
  
  METHODS
  Sixty consecutive laparoscopic colorectal cancer resections and 60 age-matched open resections were identified. Our prospective database was queried for demographic, clinical outcomes, and oncologic data.
  
  
  RESULTS
  Patients undergoing laparoscopic resections experienced a shorter hospital stay and a quicker return of bowel function. Both groups had similar intraoperative blood loss and surgical times. Laparoscopic resections achieved equivalent lymph node retrieval and resection completeness compared with open resections. Laparoscopic resections resulted in fewer wounds and fewer complications requiring reoperation.
  
  
  CONCLUSIONS
  Establishment of a minimally invasive colorectal cancer program in a Veterans Affairs Medical Center leads to increased access to laparoscopic colorectal resections and improved patient care while maintaining patient safety.
authors.affiliation: Operative Care Line, Division of General Surgery and Surgical Oncology, Michael E DeBakey Veterans' Affairs Medical Center, Houston, TX 77030, USA.
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Wilks
authors.forename: Courtney J
authors.initials: CJ
authors.lastname: Balentine
authors.forename: David H
authors.initials: DH
authors.lastname: Berger
authors.forename: Daniel
authors.initials: D
authors.lastname: Anaya
authors.forename: Samir
authors.initials: S
authors.lastname: Awad
authors.forename: Liz
authors.initials: L
authors.lastname: Lee
authors.forename: Kujtim
authors.initials: K
authors.lastname: Haderxhanaj
authors.forename: Daniel
authors.initials: D
authors.lastname: Albo
mesh_terms: D000368:Aged; D002983:Clinical Competence; D003082:Colectomy / Q000379:methods; D015179:Colorectal Neoplasms / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004210:Dissection / Q000379:methods; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D016730:Program Development; D014481:United States