Laparoscopic vs Open Left-Sided Colorectal Surgery
Laparoscopic vs Open Left-Sided Colorectal Surgery
Braga M, Frasson M, Zuliani W, Vignali A, Pecorelli N, Di Carlo V
Br J Surg. 2010;97:1180-1186
Are the short- and long-term results of laparoscopic surgery for left-sided colon lesions comparable to those of open surgery? The authors conducted a randomized trial that included patients with a mean age of 64 years and a median follow-up of 78 months. Approximately 62% of patients had cancer. No difference in short-term or long-term morbidity was seen between the 2 groups. For the group of patients with cancer, 5-year survival rates were similar: 66% for the open group and 72% for the laparoscopic group (P = .32).
Previous reports have determined that short-term results may be better in patients undergoing laparoscopic rather than open colorectal surgery. However, a key concern is the long-term follow-up of patients with cancer. This study, which included 167 patients with similarly staged left-sided colorectal cancer, provides helpful survival information: at 5 years, the survival rates in the 2 groups were similar. The authors estimated that the additional total cost per patient for laparoscopic surgery was about 66 Euros or 86 US dollars -- a trivial amount.
Abstract
Randomized Clinical Trial of Laparoscopic Versus Open Left Colonic Resection
Braga M, Frasson M, Zuliani W, Vignali A, Pecorelli N, Di Carlo V
Br J Surg. 2010;97:1180-1186
Summary
Are the short- and long-term results of laparoscopic surgery for left-sided colon lesions comparable to those of open surgery? The authors conducted a randomized trial that included patients with a mean age of 64 years and a median follow-up of 78 months. Approximately 62% of patients had cancer. No difference in short-term or long-term morbidity was seen between the 2 groups. For the group of patients with cancer, 5-year survival rates were similar: 66% for the open group and 72% for the laparoscopic group (P = .32).
Viewpoint
Previous reports have determined that short-term results may be better in patients undergoing laparoscopic rather than open colorectal surgery. However, a key concern is the long-term follow-up of patients with cancer. This study, which included 167 patients with similarly staged left-sided colorectal cancer, provides helpful survival information: at 5 years, the survival rates in the 2 groups were similar. The authors estimated that the additional total cost per patient for laparoscopic surgery was about 66 Euros or 86 US dollars -- a trivial amount.
Abstract
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