A team from Herston, Queensland, Australia, investigated the outcomes following laparoscopic colorectal surgery for cancer.
Since 1991, a laparoscopic-assisted resection has been used at the Royal Brisbane Hospital selectively for patients with colorectal cancer.
A total of 181 patients were studied. Of these, 154 patients had potentially curative procedures performed in the study period.
The patients were followed up for a median of 71 months.
| Recurrence rate after laparoscopic resection of colorectal cancer: 6%.
| Diseases of the Colon & Rectum |
The overall recurrence rate in the group was 6%. There was 1 port site recurrence after a potentially curative procedure (0.6%) and 1 port site recurrence after a palliative resection.
The researchers found that the perioperative mortality was 1%.
Only 6 patients suffered an adhesive small-bowel obstruction postoperatively, and there was 1 incisional hernia.
Unadjusted 5-year median survival data for Australian Clinico-pathological Staging A was 91% (3.5% recurrence). For Australian Clinico-pathological Staging B and C, the survival rate was 83% (15% recurrence) and 74% (26% recurrence), respectively.
Author John Lumley, of the Royal Brisbane Hospital, Herston, concluded on behalf of his colleagues, "In selected patients, a laparoscopic resection for colorectal cancer produces acceptable intermediate to long-term oncologic outcomes and a low long-term complication rate."