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Laparoscopic assisted vs Open Surgery for Colon Cancer

significantly lower in LAC than in OC. Gutt et al describe 10. Jayne DG, Guillou PJ, Thorpe H, Quirke P, Copeland J,
that laparoscopic surgery reduces adhesion formation Smith AM, et al. UK MRC clasicc trial group. Randomized
compared with open surgery, because laparoscopic trial of laparoscopic-assisted resection of colorectal carcinoma:
Three year results of the UK MRC clasicc trial group. J Clin
procedures reduce the overall degree of trauma to the Oncol 2007;25:3061-68.
abdominal wall, intra-abdominal operative site and distant 11. Lacy AM, García-Valdecasas JC, Delgado S, Castells A,
intra-abdominal organs, they potentially have an advantage Taurá P, Piqué JM, et al. Laparoscopy-assisted colectomy versus
29
in reducing the formation of postoperative adhesions. In open colectomy for treatment of nonmetastatic colon cancer: A
randomised trial. Lancet 2002;359:2224-29.
the long-term period, there is no significant difference in 12. Lacy AM, Delgado S, Castells A, Prins HA, Arroyo V,
overall recurrence, local recurrence, distant metastasis and Ibarzabal A, et al. The long-term results of a randomized clinical
peritoneal dissemination between the two surgery groups. trial of laparoscopy-assisted versus open surgery for colon
There was also no significant difference in wound site cancer. Ann Surg 2008;248:1-7.
recurrence between the two groups. 13. Braga M, Frasson M, Zuliani W, Vignali A, Pecorelli N,
Di Carlo V. Randomized clinical trial of laparoscopic versus
open left colonic resection. Br J Surg 2010;97:1180-86.
CONCLUSION 14. Braga M, Vignali A, Zuliani W, Frasson M, Di Serio C, Di
Minimally access surgery for colorectal cancer has been Carlo V. Laparoscopic versus open colorectal surgery:
Costbenefit analysis in a single-center randomized trial. Ann
subjected to rigorous scientific evaluation, and due to Surg 2005;242:890-96.
positive outcomes when done by experienced surgeons, this 15. Braga M, Frasson M, Vignali A, Zuliani W, Civelli V, Di
approach has become the standard worldwide. Laparoscopic Carlo V. Laparoscopic vs open colectomy in cancer patients:
surgery for colon cancer is associated with a reduction in Long-term complications, quality of life, and survival. Dis Colon
Rectum 2005;48:2217-23.
intraoperative blood loss, earlier resumption of oral intake 16. Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith
and shorter duration of hospital stay. General and colorectal AM, et al. MRC clasicc trial group. Short-term endpoints of
surgeons must remain fully engaged in the development conventional versus laparoscopic-assisted surgery in
and application of new technologies and procedures so that patients with colorectal cancer (MRC CLASICC trial):
surgeons can lead the way into the future while maintaining Multicentre, randomised controlled trial. Lancet 2005;365:
1718-26.
the patient’s interest first. 17. Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J,
Haglind E, et al. Colon cancer laparoscopic or open resection
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