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Single center experience in laparoscopic colectomy for cancer

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SUMMARY Objective: The application of laparoscopic colectomy for colorectal carcinoma has been disputable regarding its efficacy as an oncological procedure. The aim of this study was to assess the early and long-term results of laparoscopic colectomy for malignant disease. Method: Between 1990 and 1997, 243 patients underwent laparoscopic colectomy for colon carcinoma, in our center. Morbidity and mortality data were analyzed retrospectively along with disease-free and overall patient survival. Results: Laparoscopic colectomy was successfully completed in 216 of 243 patients (89%). A perioperative morbidity rate of 22% and mortality rate of 1.4% were observed. The overall estimated 1, 2, 3, 5, and 7- year survival rates were 92%, 82%, 74%, 65%, and 45%, respectively. Only one case (<0.5%) with a trocar site recurrence was observed in this series. There were no recurrences at the wound extraction site, when the wound was protected. The overall estimated 5- and 7-year disease-free survival rates were 79% and 76%, respectively. Conclusion: Laparoscopic colectomy for cancer can be performed safely and effectively with perioperative morbidity, mortality and survival rates comparable to open colon resection. Key words: Laparoscopic surgery, colectomy, colorectal carcinoma


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