Laparoscopic resection of colon Cancer: Consensus of the European Association of Endoscopic Surgery (EAES)
- 23 June 2004
- journal article
- review article
- Published by Springer Science and Business Media LLC in Surgical Endoscopy
- Vol. 18 (8), 1163-1185
- https://doi.org/10.1007/s00464-003-8253-3
Abstract
The European Association of Endoscopic Surgery (EAES) initiated a consensus development conference on the laparoscopic resection of colon cancer during the annual congress in Lisbon, Portugal, in June 2002. A systematic review of the current literature was combined with the opinions, of experts in the field of colon cancer surgery to formulate evidence-based statements and recommendations on the laparoscopic resection of colon cancer. Advanced age, obesity, and previous abdominal operations are not considered absolute contraindications for laparoscopic colon cancer surgery. The most common cause for conversion is the presence of bulky or invasive tumors. Laparoscopic operation takes longer to perform than the open counterpart, but the outcome is similar in terms of specimen size and pathological examination. Immediate postoperative morbidity and mortality are comparable for laparoscopic and open colonic cancer surgery. The laparoscopically operated patients had less postoperative pain, better-preserved pulmonary function, earlier restoration of gastrointestinal function, and an earlier discharge from the hospital. The postoperative stress response is lower after laparoscopic colectomy. The incidence of port site metastases is <1%. Survival after laparoscopic resection of colon cancer appears to be at least equal to survival after open resection. The costs of laparoscopic surgery for colon cancer are higher than those for open surgery. Laparoscopic resection of colon cancer is a safe and feasible procedure that improves short-term outcome. Results regarding the long-term survival of patients enrolled in large multicenter trials will determine its role in general surgery.Keywords
This publication has 176 references indexed in Scilit:
- Port-site metastases in patients undergoing laparoscopy for gastrointestinal malignancyBritish Journal of Surgery, 1996
- Superior mesenteric and portal vein thrombosis following laparoscopic-assisted right hemicolectomyDiseases of the Colon & Rectum, 1996
- Laparoscopic-assisted colectomy with the dexterityTM pneumo sleeveDiseases of the Colon & Rectum, 1996
- Laparoscopic resections for colorectal carcinomaDiseases of the Colon & Rectum, 1996
- Early parietal recurrence of adenocarcinoma of the colon after laparoscopic colectomyBritish Journal of Surgery, 1995
- Localization of colonic lesions with endoscopic tattooDiseases of the Colon & Rectum, 1994
- Experience with laparoscopic colorectal surgery for malignant diseaseSurgical Oncology, 1993
- Laparoscopic colorectal resection for cancer: the Cleveland Clinic Florida experienceSurgical Oncology, 1993
- Laparoscopic colorectal surgery: A prospective assessment and current perspectiveBritish Journal of Surgery, 1993
- Patterns of recurrence following surgery alone for adenocarcinoma of the colon and rectumCancer, 1976