Minimally invasive surgery in colon cancer patients leads to improved short-term outcomes and excellent oncologic results

Am J Surg. 2011 Nov;202(5):528-31. doi: 10.1016/j.amjsurg.2011.06.024. Epub 2011 Sep 9.


Background: Minimally invasive surgery (MIS) techniques are beneficial compared with open techniques. There is a paucity of data of the potential advantages of MIS in colon cancer surgery for veterans. Therefore, we hypothesize that use of MIS in colon cancer resections in a Veterans Affairs Medical Center will lead to improved short-term outcomes without compromising oncologic outcomes.

Methods: A retrospective analysis of a prospectively maintained database was performed. We compared surgical, short-term, and oncologic outcomes in MIS versus open surgery.

Results: MIS patients had significantly less blood loss, surgical time, days to return of bowel function, and hospital and intensive care unit stays. Also, they had a greater and more adequate lymphadenectomy, and were less likely to experience a postoperative complication. Survival analyses showed no difference in overall and disease-free survival.

Conclusions: The use of MIS in colon cancer leads to improved short-term outcomes and similar oncologic outcomes when compared with open surgery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Loss, Surgical
  • Colonic Neoplasms / surgery*
  • Female
  • Humans
  • Laparoscopy*
  • Length of Stay / statistics & numerical data
  • Lymph Node Excision
  • Male
  • Recovery of Function
  • Retrospective Studies
  • Time Factors