Clinical, pathologic, and economic parameters of laparoscopic colon resection for cancer - 09/09/11

Doi : 10.1016/S0002-9610(98)00261-X

Michael Bouvet, MD ^a, Paul F Mansfield, MD ^a, John M Skibber, MD ^a, Steven A Curley, MD ^a, Lee M Ellis, MD ^a, Geoffrey G Giacco, MS ^b, Alice R Madary ^a : ADN, David M Ota, MD ^c, Barry W Feig, MD ^a,⁎
^a Department of Surgical Oncology (MB, PFM, JMS, SAC, LME, ARM, BWF), University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA
^b Department of Medical Informatics (GGG), University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA
^c Division of Surgical Oncology (DMO), University of Missouri Health Sciences Center, Columbia, Missouri, USA

^*Requests for reprints should be addressed to Barry W. Feig, MD, Department of Surgical Oncology, Box 106, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030

Abstract

Background: The appropriateness of laparoscopic colon resection (LCR) as treatment for malignancy has been questioned.

Methods: From 1992 to 1997, 91 patients were entered into a prospective study of LCR for cancer. Clinical, pathologic, and economic parameters of LCR were compared in a cohort of patients matched for age, tumor stage, and type of colectomy who underwent open colon resection (OCR) during the same time period.

Results: With a median follow-up of 26 months, there were no significant differences in survival rate for patients in the LCR, converted colon resection, and OCR groups. There were no port-site recurrences and the number of lymph nodes harvested was similar among the procedures. Hospital stay was significantly shorter if laparoscopic resection was successful. Total hospital costs were similar for LCR and OCR; however, the costs were significantly higher for converted colon resection.

Conclusions: LCR is a sound oncologic procedure that can be performed with costs similar to OCR.

Le texte complet de cet article est disponible en PDF.

Plan

Patients and methods

Results

Comments

Export

Vol 176 - N° 6

P. 554-558 - décembre 1998 Retour au numéro

Article précédent

Laparoscopic intraperitoneal onlay inguinal herniorrhaphy
Darra Kingsley, Diana M Vogt, M.Timothy Nelson, Myriam J Curet, David E Pitcher

| Article suivant

Laparoscopic living donor nephrectomy and multiple renal arteries
Paul C Kuo, Eugene S Cho, John L Flowers, Stephen Jacobs, Stephen T Bartlett, Lynt B Johnson

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

connectez-vous ou créez un compte

Clinical, pathologic, and economic parameters of laparoscopic colon resection for cancer - 09/09/11

Abstract

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL