World Journal of Laparoscopic Surgery

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VOLUME 16 , ISSUE 3 ( September-December, 2023 ) > List of Articles

Original Article

Outcomes of Laparoscopic vs Open Surgery for Colorectal Cancers

Rishabh Mehta, Badareesh Lakshminarayana

Keywords : Colorectal surgery, Hospital cost, Oncologic outcomes, Open surgery

Citation Information : Mehta R, Lakshminarayana B. Outcomes of Laparoscopic vs Open Surgery for Colorectal Cancers. World J Lap Surg 2023; 16 (3):153-157.

DOI: 10.5005/jp-journals-10033-1598

License: CC BY-NC 4.0

Published Online: 12-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: Colorectal malignancies are one of the most common cancers diagnosed globally. Minimally invasive surgery has gained importance in treating these cancers. However, there is still skepticism with regard to their oncologic outcomes compared to open surgery. With this study, we aim to compare and evaluate both modalities of therapy. Materials and methods: We conducted a prospective, observational study at Kasturba Hospital, Manipal, Karnataka, India between 15 September 2019 and 15 September 2021. A total of 79 patients were recruited in the study and considered in the final analysis, out of which 33 underwent surgery by laparoscopic technique) and 46 underwent surgery by open technique. Both groups were weighed against each other in relation to oncologic outcomes, complications of the surgery, duration of stay in the hospital, cost, and other variables. Results: Both groups were similar with respect to oncologic outcomes, surgical complications, duration of stay in the hospital, and cost. Conclusion: Laparoscopic surgeries are comparable to open surgeries for colorectal cancers with regard to outcome, complications, and cost and should be considered when planning surgery for such malignancies.

  1. Siegel R, Naishadham D, Jemal A, et al. Cancer statistics, 2013. CA Cancer J Clin 2013;63(1):11–30. DOI: 10.3322/caac.21166.
  2. Abraham NS, Young JM, Solomon MJ, et al. Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer. Br J Surg 2004;91(9):1111–1124. DOI: 10.1002/bjs.4640.
  3. Lee JE, Joh YG, Yoo SH, et al. Long-term outcomes of laparoscopic surgery for colorectal cancer. J Korean Soc Coloproctol 2011;27(2): 64–70. DOI: 10.3393/jksc.2011.27.2.64.
  4. Tan KY, Konishi F. Long-term results of laparoscopic colorectal cancer resection: Current knowledge and what remains unclear. Surg Today 2010;40(2):97–101. DOI: 10.1007/s00595-009-4133-3.
  5. Quirke P, Steele R, Monson J, et al. Effect of the plane of surgery achieved on local recurrence in patients with operable rectal cancer: A prospective study using data from the MRC CR07 and NCIC-CTG CO16 randomised clinical trial. Lancet 2009;373(9666):821–828. DOI: 10.1016/S0140-6736(09)60485-2.
  6. Quirke P, Durdey P, Dixon MF, et al. Local recurrence of rectal adenocarcinoma due to inadequate surgical resection. Histopathological study of lateral tumour spread and surgical excision. Lancet 1986;2(8514):996–999. DOI: 10.1016/s0140-6736(86)92612-7.
  7. Fujii S, Ishibe A, Ota M, et al. Short-term results of a randomized study between laparoscopic and open surgery in elderly colorectal cancer patients. Surg Endosc 2014;28(2):466–476. DOI: 10.1007/s00464-013-3223-x.
  8. Chen K, Zhang Z, Zuo Y, et al. Comparison of the clinical outcomes of laparoscopic-assisted versus open surgery for colorectal cancer. Oncol Lett 2014;7(4):1213–1218. DOI: 10.3892/ol.2014.1859.
  9. van der Pas MH, Haglind E, Cuesta MA, et al. Laparoscopic versus open surgery for rectal cancer (COLOR II): Short-term outcomes of a andomized, phase 3 trial. Lancet Oncol 2013;14(3):210–218. DOI: 10.1016/S1470-2045(13)70016-0.
  10. Nelson H, Petrelli N, Carlin A, et al. Guidelines 2000 for colon and rectal cancer surgery. J Natl Cancer Inst 2001;93(8):583–596. DOI: 10.1093/jnci/93.8.583.
  11. Fleshman J, Branda M, Sargent DJ, et al. Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: The ACOSOG Z6051 Randomized Clinical Trial. JAMA 2015;314(13):1346–1355. DOI: 10.1001/jama.2015.10529.
  12. Durak D, Alkurt EG, Turhan VB, et al. Comparison of short-term results of laparoscopic and open surgeries for colorectal cancer: A single-center experience. Cureus 2022;14(5):e24635. DOI: 10.7759/cureus.24635.
  13. Chiu CC, Lin WL, Shi HY, et al. Comparison of oncologic outcomes in laparoscopic versus open surgery for non-metastatic colorectal cancer: Personal experience in a single institution. J Clin Med 2019;8(6):875. DOI: 10.3390/jcm8060875.
  14. Bedirli A, Salman B, Yuksel O. Laparoscopic versus open surgery for colorectal cancer: A retrospective analysis of 163 patients in a single institution. Minim Invasive Surg 2014;2014:530314. DOI: 10.1155/2014/530314.
  15. Tan KL, Deng HJ, Chen ZQ, et al. Survival outcomes following laparoscopic vs open surgery for non-metastatic rectal cancer: A two-center cohort study with propensity score matching. Gastroenterol Rep (Oxf) 2020;8(4):319–325. DOI: 10.1093/gastro/goaa046.
  16. Manegold P, Taukert J, Neeff H, et al. The minimum distal resection margin in rectal cancer surgery and its impact on local recurrence: A retrospective cohort analysis. Int J Surg 2019;69:77–83. DOI: 10.1016/j.ijsu.2019.07.029.
  17. Braga M, Vignali A, Gianotti L, et al. Laparoscopic versus open colorectal surgery: A randomized trial on short-term outcome. Ann Sur 2002;236(6):759–766; discussion 767. DOI: 10.1097/01.SLA.0000036269.60340.AE.
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