Our Summary

This study was conducted to compare the outcomes of two types of surgeries used to treat advanced colon cancer: laparoscopic colectomy (a less invasive procedure where the surgeon operates through small incisions in the abdomen) and open surgery (where the surgeon makes a larger incision).

The researchers looked at the results of 24 previous studies involving over 18,000 patients, half of whom had laparoscopic surgery and half of whom had open surgery. They found that patients who had the less invasive laparoscopic surgery had lower rates of death and fewer complications than those who had open surgery.

However, the two types of surgery had similar success rates in terms of completely removing the cancer (R0 resection rate) and preventing the cancer from coming back (recurrence rate).

So, the conclusion is that laparoscopic surgery is a safe choice for treating advanced colon cancer, and it may have some advantages over open surgery.

FAQs

  1. What are the differences between laparoscopic colectomy and open surgery for colon cancer?
  2. What are the observed benefits of laparoscopic surgery compared to open surgery in treating advanced colon cancer?
  3. Do laparoscopic surgery and open surgery have similar success rates in terms of completely removing the cancer and preventing recurrence?

Doctor’s Tip

One helpful tip a doctor might give to a patient about laparoscopic colectomy is to follow post-operative instructions carefully to ensure a smooth recovery. This may include taking prescribed medications, following a specific diet, getting plenty of rest, and gradually increasing physical activity as directed by the surgeon. By following these instructions, patients can help minimize the risk of complications and promote healing after surgery.

Suitable For

Typically, patients who are recommended for laparoscopic colectomy are those with advanced colon cancer who are suitable candidates for minimally invasive surgery. This may include patients who are otherwise healthy, have good overall fitness, and do not have any significant medical conditions that would make them high risk for surgery. It is important for patients to discuss with their healthcare provider to determine if laparoscopic colectomy is the best option for their specific case.

Timeline

Before laparoscopic colectomy:

  1. Patient consults with a surgeon to discuss treatment options for advanced colon cancer.
  2. Patient undergoes pre-operative testing and preparation.
  3. Patient is informed about the procedure and potential risks and benefits.

During laparoscopic colectomy:

  1. Patient is placed under general anesthesia.
  2. Surgeon makes small incisions in the abdomen and inserts a laparoscope (thin tube with a camera) and surgical instruments.
  3. Surgeon removes the affected portion of the colon.
  4. Procedure typically lasts 2-4 hours.

After laparoscopic colectomy:

  1. Patient wakes up in the recovery room and is monitored for any complications.
  2. Patient may experience some pain and discomfort at the incision sites.
  3. Patient is encouraged to walk and resume normal activities as soon as possible to aid in recovery.
  4. Patient may be discharged from the hospital within a few days.
  5. Patient will have follow-up appointments with the surgeon to monitor recovery and discuss any further treatment or surveillance needs.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with laparoscopic colectomy compared to open surgery?
  2. How long is the recovery time typically for laparoscopic colectomy compared to open surgery?
  3. Will I need to stay in the hospital longer after laparoscopic colectomy compared to open surgery?
  4. What is the success rate of laparoscopic colectomy in completely removing the cancer compared to open surgery?
  5. How soon after surgery can I resume normal activities with laparoscopic colectomy compared to open surgery?
  6. Are there any specific dietary or lifestyle changes I should make after laparoscopic colectomy?
  7. Will I need additional treatments, such as chemotherapy or radiation therapy, after laparoscopic colectomy?
  8. How often will I need follow-up appointments or monitoring after laparoscopic colectomy?
  9. Are there any long-term side effects or complications associated with laparoscopic colectomy that I should be aware of?
  10. Are there any specific factors about my individual case that may make me a better candidate for laparoscopic colectomy over open surgery?

Reference

Authors: Podda M, Pisanu A, Morello A, Segalini E, Jayant K, Gallo G, Sartelli M, Coccolini F, Catena F, Di Saverio S. Journal: Br J Surg. 2022 Mar 15;109(4):319-331. doi: 10.1093/bjs/znab464. PMID: 35259211