Subscribe to RSS
DOI: 10.1055/s-0044-1801357
Minimally Invasive Surgery for Colon Cancer: Surgical and Oncologic Outcomes since the Clinical Outcomes of Surgical Therapy Trial
Authors
Funding None.
Abstract
Multiple randomized controlled trials have demonstrated the short-term recovery benefits of laparoscopic colectomy for colon cancer while maintaining noninferior long-term oncologic outcomes relative to open surgery. These short- and long-term results have been validated in large observational trials with the widespread adoption of laparoscopic colectomy for colon cancer. Subsequent advances in minimally invasive technique including robotic colectomy, intracorporeal anastomosis, and natural orifice extraction may preserve or augment the benefits of minimally invasive surgical treatment for colon cancer although data in these areas are less robust.
Publication History
Article published online:
10 January 2025
© 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1991; 1 (03) 144-150
- 2 Wexner SD, Cohen SM, Johansen OB, Nogueras JJ, Jagelman DG. Laparoscopic colorectal surgery: a prospective assessment and current perspective. Br J Surg 1993; 80 (12) 1602-1605
- 3 Monson JR, Darzi A, Carey PD, Guillou PJ. Prospective evaluation of laparoscopic-assisted colectomy in an unselected group of patients. Lancet 1992; 340 (8823) 831-833
- 4 Berends FJ, Kazemier G, Bonjer HJ, Lange JF. Subcutaneous metastases after laparoscopic colectomy. Lancet 1994; 344 (8914) 58
- 5 Vukasin P, Ortega AE, Greene FL. et al. Wound recurrence following laparoscopic colon cancer resection. Results of the American Society of Colon and Rectal Surgeons Laparoscopic Registry. Dis Colon Rectum 1996; 39 (10) S20-S23
- 6 Nelson H, Sargent DJ, Wieand HS. et al; Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004; 350 (20) 2050-2059
- 7 Lacy AM, García-Valdecasas JC, Piqué JM. et al. Short-term outcome analysis of a randomized study comparing laparoscopic vs open colectomy for colon cancer. Surg Endosc 1995; 9 (10) 1101-1105
- 8 Veldkamp R, Kuhry E, Hop WCJ. et al; COlon cancer Laparoscopic or Open Resection Study Group (COLOR). Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 2005; 6 (07) 477-484
- 9 Hewett PJ, Allardyce RA, Bagshaw PF. et al. Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial. Ann Surg 2008; 248 (05) 728-738
- 10 Neudecker J, Klein F, Bittner R, Carus T, Stroux A, Schwenk W. LAPKON II Trialists. Short-term outcomes from a prospective randomized trial comparing laparoscopic and open surgery for colorectal cancer. Br J Surg 2009; 96 (12) 1458-1467
- 11 Guillou PJ, Quirke P, Thorpe H. et al; MRC CLASICC trial group. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 2005; 365 (9472) 1718-1726
- 12 Abraham NS, Young JM, Solomon MJ. Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer. Br J Surg 2004; 91 (09) 1111-1124
- 13 Bonjer HJ, Hop WCJ, Nelson H. et al; Transatlantic Laparoscopically Assisted vs Open Colectomy Trials Study Group. Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis. Arch Surg 2007; 142 (03) 298-303
- 14 COLOR Study Group. COLOR: a randomized clinical trial comparing laparoscopic and open resection for colon cancer. Dig Surg 2000; 17 (06) 617-622
- 15 Weeks JC, Nelson H, Gelber S, Sargent D, Schroeder G. Clinical Outcomes of Surgical Therapy (COST) Study Group. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial. JAMA 2002; 287 (03) 321-328
- 16 Janson M, Lindholm E, Anderberg B, Haglind E. Randomized trial of health-related quality of life after open and laparoscopic surgery for colon cancer. Surg Endosc 2007; 21 (05) 747-753
- 17 McCombie AM, Frizelle F, Bagshaw PF. et al; ALCCaS Trial group. The ALCCaS trial: a randomized controlled trial comparing quality of life following laparoscopic versus open colectomy for colon cancer. Dis Colon Rectum 2018; 61 (10) 1156-1162
- 18 Orcutt ST, Marshall CL, Robinson CN. et al. Minimally invasive surgery in colon cancer patients leads to improved short-term outcomes and excellent oncologic results. Am J Surg 2011; 202 (05) 528-531
- 19 Papageorge CM, Zhao Q, Foley EF. et al. Short-term outcomes of minimally invasive versus open colectomy for colon cancer. J Surg Res 2016; 204 (01) 83-93
- 20 Fleshman J, Sargent DJ, Green E. et al; Clinical Outcomes of Surgical Therapy Study Group. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg 2007; 246 (04) 655-662 , discussion 662–664
- 21 Theophilus M, Platell C, Spilsbury K. Long-term survival following laparoscopic and open colectomy for colon cancer: a meta-analysis of randomized controlled trials. Colorectal Dis 2014; 16 (03) O75-O81
- 22 Kuhry E, Schwenk WF, Gaupset R, Romild U, Bonjer HJ. Long-term results of laparoscopic colorectal cancer resection. Cochrane Database Syst Rev 2008; 2008 (02) CD003432
- 23 Ohtani H, Tamamori Y, Arimoto Y, Nishiguchi Y, Maeda K, Hirakawa K. A meta-analysis of the short- and long-term results of randomized controlled trials that compared laparoscopy-assisted and open colectomy for colon cancer. J Cancer 2012; 3: 49-57
- 24 Vogelsang RP, Fransgaard T, Falk Klein M, Gögenur I. Long-term oncological outcomes in patients undergoing laparoscopic versus open surgery for colon cancer: a nationwide cohort study. Colorectal Dis 2022; 24 (04) 439-448
- 25 Jadid KD, Cao Y, Petersson J, Sjövall A, Angenete E, Matthiessen P. Long-term oncological outcomes for minimally invasive surgery versus open surgery for colon cancer-a population-based nationwide study with a non-inferiority design. Colorectal Dis 2023; 25 (05) 954-963
- 26 Feinberg AE, Chesney TR, Acuna SA, Sammour T, Quereshy FA. Oncologic outcomes following laparoscopic versus open resection of pT4 colon cancer: a systematic review and meta-analysis. Dis Colon Rectum 2017; 60 (01) 116-125
- 27 Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 2002; 45 (12) 1689-1694 , discussion 1695–1696
- 28 Cuk P, Kjær MD, Mogensen CB, Nielsen MF, Pedersen AK, Ellebæk MB. Short-term outcomes in robot-assisted compared to laparoscopic colon cancer resections: a systematic review and meta-analysis. Surg Endosc 2022; 36 (01) 32-46
- 29 Yuval JB, Thompson HM, Verheij FS. et al. Comparison of robotic, laparoscopic, and open resections of nonmetastatic colon cancer. Dis Colon Rectum 2023; 66 (10) 1347-1358
- 30 Cuk P, Kaalby L, Deding U, Al-Najami I, Ellebæk MB. Long-term outcomes of robot-assisted versus laparoscopic surgery for colon cancer: a nationwide register-based cohort study. Ann Surg 2024; 279 (03) 456-461
- 31 Bilimoria KY, Bentrem DJ, Nelson H. et al. Use and outcomes of laparoscopic-assisted colectomy for cancer in the United States. Arch Surg 2008; 143 (09) 832-839 , discussion 839–840
- 32 Fox J, Gross CP, Longo W, Reddy V. Laparoscopic colectomy for the treatment of cancer has been widely adopted in the United States. Dis Colon Rectum 2012; 55 (05) 501-508
- 33 Shustak A, Horesh N, Emile SH. et al. The impact of facility type on surgical outcomes in colon cancer patients: analysis of the national cancer database. Surg Endosc 2024; 38 (12) 7503-7511
- 34 Kling SM, Raman S, Taylor GA. et al. Trends in general surgery resident experience with colorectal surgery: an analysis of the accreditation council for graduate medical education case logs. J Surg Educ 2022; 79 (03) 632-642
- 35 Simianu VV, Gaertner WB, Kuntz K. et al. Cost-effectiveness evaluation of laparoscopic versus robotic minimally invasive colectomy. Ann Surg 2020; 272 (02) 334-341
- 36 Allaix ME, Degiuli M, Bonino MA. et al. Intracorporeal or extracorporeal ileocolic anastomosis after laparoscopic right colectomy: a double-blinded randomized controlled trial. Ann Surg 2019; 270 (05) 762-767
- 37 Małczak P, Wysocki M, Pisarska-Adamczyk M, Major P, Pędziwiatr M. Bowel function after laparoscopic right hemicolectomy: a randomized controlled trial comparing intracorporeal anastomosis and extracorporeal anastomosis. Surg Endosc 2022; 36 (07) 4977-4982
- 38 den Hartog FPJ, van Egmond S, Poelman MM. et al. The incidence of extraction site incisional hernia after minimally invasive colorectal surgery: a systematic review and meta-analysis. Colorectal Dis 2023; 25 (04) 586-599
- 39 Widmar M, Aggarwal P, Keskin M. et al. Intracorporeal anastomoses in minimally invasive right colectomies are associated with fewer incisional hernias and shorter length of stay. Dis Colon Rectum 2020; 63 (05) 685-692
- 40 Guan X, Liu Z, Longo A. et al; International Alliance of NOSES. International consensus on natural orifice specimen extraction surgery (NOSES) for colorectal cancer. Gastroenterol Rep (Oxf) 2019; 7 (01) 24-31
- 41 Brincat SD, Lauri J, Cini C. Natural orifice versus transabdominal specimen extraction in laparoscopic surgery for colorectal cancer: meta-analysis. BJS Open 2022; 6 (03) zrac074
