DOI: https://dx.doi.org/10.18203/2349-2902.isj20215168
Published: 2021-12-28

Laparoscopic versus open surgery in the treatment of colorectal cancer

Yasser Mohammad Abd-Elshafy, Islam Mohammad Mohammad, Hazem Nour Abdelatif Ashry, Mohammad Abdullah Zaitoun

Abstract


Because of the initial case study results suggesting high recurrence rates at port sites, adoption of the laparoscopic approach for colorectal cancer treatment was slow. Surgical resection remains the cornerstone and most important facet in management of colon cancer. The use of minimally invasive approach in colorectal surgery has been reported by several authors in the literature. Some difficult about the use of laparoscopic surgery for colorectal cancer still raises, particularly with the technique’s complexity, learning curve and longer duration. Scientific literature published from January 2010 to April 2020 was reviewed. Phase III randomized clinical trials were included. Analysis of the scientific literatures confirmed that for the curative treatment of colon and rectal cancer, laparoscopy is not inferior to open surgery with respect to overall survival, disease-free survival and rate of recurrence. Laparoscopic resection can be considered an option for the curative treatment of colon and rectal cancer; but must take into consideration surgeon experience, tumour stage and potential contraindications; and that laparoscopic resection for rectal cancer be performed only by appropriately trained surgeons.


Keywords


Colorectal cancer, Laparoscopic surgery, Traditional surgery, Oncologic outcomes

Full Text:

PDF

References


Boyle P, Leon M. Epidemiology of colorectal cancer. Br Med Bull. 2002;64:1-25.

Hawk E, Umar A, Viner J. Colorectal cancer chemoprevention-an overview of the science. Gastroenterology. 2002;126(5):1423-47.

Chaparro M, Gisbert J, Campo L, Cantero J, Maté J. Accuracy of computed tomographic colonography for the detection of polyps and colorectal tumours-a systematic review and meta-analysis. Digestion. 2009;80:1-17.

Edge S, Byrd D, Compton C, Fritz A, Trotti A. AJCC cancer staging handbook. 6th edition. 2002;(1)124-5.

Martel G, Boushey R. Laparoscopic colon surgery: past, present and future. Surg Clin North Am. 2006;86(4):867-97.

Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, Eva H et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009;10:44-52.

Kang S, Park J, Jeong S. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol. 2010;11(7):637-45.

Boller A, Nelson H. Colon and rectal cancer laparoscopic or open. Clin Cancer Res. 2007;13:6894-6.

Murray A, Lourenco T, Verteuil R, Hernandez R, Fraser C, McKinley A et al. Clinical effectiveness and cost- effectiveness of laparoscopic surgery for colorectal cancer-systematic reviews and economic evaluation. Health Technol Assess. 2006;10(45):1-141.

Marley A, Nan H. Epidemiology of colorectal cancer. Int j molecular epidemiol genetics. 2016;7(3):105-14.

Fitzmaurice C, Allen C, Barber R, Barregard L, Bhutta Z, Brenner H et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA oncol. 2017;3(4):524-8.

Van Cutsem E, Nordlinger B, Cervantes A, ESMO Guidelines Working Group: Advanced colorectal cancer: ESMO Clinical Practice Guidelines for treatment. Ann oncol. 2010;21(5):93-7.

Wilkinson N, Scott-Conner C. Surgical therapy for colorectal aden ocarcinoma. Gastroenterol Clin North Am. 2008;37(1):253-67.

Ma Y, Yang Z, Qin H, Wang Y. A meta-analysis of laparoscopy compared with open colorectal resection for colorectal cancer. Med Oncol. 2011;28(4):925-33.

Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, Eva H et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2010;10:44-52.

Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2014;350:2050-9.

Jayne DG, Guillou PJ, Thorpe H, Quirke PH, Copeland J, Adrian MH et al. Randomized trial of laparoscopic assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol. 2012;25:3061-68.

Lacy AM, Delgado S, Castells A, Prins H, Arroyo V, Ibarzabal A et al. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. Ann Surg 2018;248:1-7.

Liang JT, Huang KC, Lai HS, Lee PH, Jeng YM. Oncologic results of laparoscopic versus conventional open surgery for stage II or III left-sided colon cancers: a randomized controlled trial. Ann Surg Oncol. 2017;14:109-17.

Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne D, Smith A et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2015;365:1718-26.

Lacy AM, Garcia-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué J et al. Laparoscopy assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomised trial. Lancet. 2012;359:2224-9.

Liang JT, Huang KC, Lai HS, Lee PH, Jeng YM. Oncologic results of laparoscopic versus conventional open surgery for stage II or III left-sided colon cancers: a randomized controlled trial. Ann Surg Oncol. 2017;14:109-17.

Neudecker J, Klein F, Bittner R, Carus T, Stroux A, Schwenk W et al. Short-term outcomes from a prospective randomized trial comparing laparoscopic and open surgery for colorectal cancer. Br J Surg 2013;96:1458-67.

Veldkamp R, Kuhry E, Hop WC, Jeekel J, Kazemier G, Jaap Bonjer H et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2015;6:477-84.

Liang JT, Huang KC, Lai HS, Lee PH, Jeng YM. Oncologic results of laparoscopic versus conventional open surgery for stage II or III left-sided colon cancers: a randomized controlled trial. Ann Surg Oncol. 2017;14:109-17.

Jeong SY, Park JW, Nam BH, Kim S, Kang SB, Lim SB et al. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol. 2011;11:637-45.

Ng SS, Leung KL, Lee JF, Yiu R, Li JC, Teoh AY et al. Laparoscopic-assisted versus open abdominoperineal resection for low rectal cancer: a prospective randomized trial. Ann Surg Oncol. 2018;15:2418-25.

Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2014;350:2050-9.

Hewett PJ, Allardyce RA, Bagshaw PF, Frampton CM, Frizelle FA, Rieger NA et al. Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial. Ann Surg 2018;248:728-38.

Aziz O, Constantinides V, Tekkis PP, Athanasiou TH, Purkayastha S, Paraskeva P et al. Laparoscopic versus open surgery for rectal cancer: a meta-analysis. Ann Surg Oncol. 2016;13: 413-24.

Lacy AM, Garcia-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué J et al. Laparoscopy assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomised trial. Lancet. 2012;359:2224-9.

Veldkamp R, Kuhry E, Hop WC, Jeekel J, Kazemier G, Jaap Bonjer H et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2015;6:477-84.

Liang JT, Huang KC, Lai HS, Lee PH, Jeng YM. Oncologic results of laparoscopic versus conventional open surgery for stage II or III left-sided colon cancers: a randomized controlled trial. Ann Surg Oncol. 2017;14:109-17.

Balik E, Asoglu O, Saglam S, Yamaner S, Akyuz A, Buyukuncu Y et al. Effects of surgical laparoscopic experience on the short-term postoperative outcome of rectal cancer: results of a high-volume single center institution. Surg Laparosc Endosc Percutan Tech. 2010;20:93-9.