The feasibility and safety of laparoscopic colectomy, compared with conventional laparotomy, has been demonstrated. However, a laparoscopic colectomy requires a mini-laparotomy incision in order to perform the operative procedure.
In this study, researchers introduce a mini-laparotomy technique which can perform all the operative procedures through incisions measuring 3 to 7 cm in length.
The team’s findings are published in the latest issue of Surgery Today.
| The number of lymph nodes removed was significantly higher in the mini-laparotomy group.|
They performed a retrospective comparison of outcome after potentially curative resection of colon cancer. Resections were either via mini-aparotomy (July 2000 to May 2002) or conventional laparotomy (May 1997 to June 2000).
The patient cohort consisted of 27 mini-laparotomy cases and 24 conventional laparotomy cases. Both patient groups had similar characteristics.
Oncological clearance, in terms of the length of resected specimens, was similar in the 2 groups. However, the number of lymph nodes removed was significantly higher in the mini-laparotomy group.
The researchers also found that the mean operation time, blood loss, length of the laparotomy incision, postoperative time to walking, starting oral intake, and postoperative hospitalization were less in the mini-laparotomy group.
Dr Kenji Takegami’s team concluded, “Our mini-laparotomy approach maintained the same curative resection for colon cancers as a conventional laparotomy, but it was less invasive and allowed for an earlier recovery and hospital discharge than conventional laparotomy”.
“The mini-laparotomy approach is thus considered to be an attractive alternative to conventional colon surgery”.