RT Book, Section
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.
SR Print(0)
ID 1145762351
T1 Colectomy Approaches for Colorectal Cancer
T2 Textbook of Complex General Surgical Oncology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071793315
LK hemonc.mhmedical.com/content.aspx?aid=1145762351
RD 2024/04/19
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.