TY - CHAP M1 - Book, Section TI - Colectomy Approaches for Colorectal Cancer A1 - Smith, J. Joshua A1 - Dehal, Ahmed A1 - Balch, Glen A1 - Garcia-Aguilar, Julio A2 - Morita, Shane Y. A2 - Balch, Charles M. A2 - Klimberg, V. Suzanne A2 - Pawlik, Timothy M. A2 - Posner, Mitchell C. A2 - Tanabe, Kenneth K. Y1 - 2018 N1 - T2 - Textbook of Complex General Surgical Oncology AB - Complete surgical resection of a primary non-metastatic colon cancer is the mainstay of treatment and holds the best chance for potential cure. The relative frequency of colorectal cancer by anatomic site of origin is shown in Fig. 108-1. Adequate resection involves removal of the involved segment of large bowel, mesentery, and associated vascular supply to completely excise the lymphatics, which harbor metastatic disease. At least 12 lymph nodes should be removed and pathologically evaluated to determine stage.1 Laparoscopic colectomy after diagnosis of colon cancer is now an accepted approach that is not inferior to conventional open surgical resection. The Clinical Outcomes of Surgical Therapy (COST) trial randomized 827 patients with colon cancer to open or laparoscopic operations, noting no significant differences in overall survival.2 The data show that patients in the laparoscopic group recovered faster, used less pain medications, and had no more short-term morbidity or mortality compared with the open group. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - hemonc.mhmedical.com/content.aspx?aid=1145762351 ER -