Laparoscopic resection of colon cancer: Consensus of the European Association of Endoscopic Surgery (E.A.E.S.)

  • Veldkamp R
  • Gholghesaei M
  • Bonjer H
 et al. 
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Abstract

Background: The European Association of Endoscopic
Surgery (EAES) initiated a consensus development
conference on the laparoscopic resection of colon cancer
during the annual congress in Lisbon, Portugal, in June
2002.
Methods: Asystematic review of the current literature
was combined with the opinions, of experts in the field
of colon cancer surgery to formulate evidence-based
statements and recommendations on the laparoscopic
resection of colon cancer.
Results: Advanced age, obesity, and previous abdominal
operations are not considered absolute contraindica-
tions for laparoscopic colon cancer surgery. The most
common cause for conversion is the presence of bulky or
invasive tumors. Laparoscopic operation takes longer to
perform than the open counterpart, but the outcome is
similar in terms of specimen size and pathological ex-
amination. Immediate postoperative morbidity and
Correspondence to: R. Veldkamp
mortality are comparable for laparoscopic and open
colonic cancer surgery. The laparoscopically operated
patients had less postoperative pain, better-preserved
pulmonary function, earlier restoration of gastrointes-
tinal function, and an earlier discharge from the hospi-
tal. The postoperative stress response is lower after
laparoscopic colectomy. The incidence of port site
metastases is of colon cancer appears to be at least equal to survival
after open resection. The costs of laparoscopic surgery
for colon cancer are higher than those for open surgery.
Conclusion: Laparoscopic resection of colon cancer is a
safe and feasible procedure that improves short-term
outcome. Results regarding the long-term survival of
patients enrolled in large multicenter trials will deter-
mine its role in general surgery.

Author-supplied keywords

  • Colon cancer
  • Contraindications
  • Conversion
  • Costs
  • Laparoscopic resection
  • Morbidity and mortality
  • Outcomes
  • Port site metastasis
  • Stress response

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Authors

  • R. Veldkamp

  • M. Gholghesaei

  • H. J. Bonjer

  • D. W. Meijer

  • M. Buunen

  • J. Jeekel

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