Current best practices and rationalistic perspectives in causation-based prevention, early detection and multidisciplinary treatment of breast and gastric cancer


Gastric & Breast Cancer e-journal

DOI: 10.2122/gbc.2008.0092


COMMENTARY

Laparoscopic colectomy survival benefit for colon cancer - Is evidence from a randomized trial true?

Haralambos Demetriades, M.D., Georgios N. Marakis, M.D., Ioannis Kanellos, M.D.

Affiliation: Fourth Surgical Department, Aristotle University of Thessaloniki, G. Papanikolaou General Regional Hospital, 57010 Exohi, Thessaloniki, Greece.
E-mail: ik@hol.gr

Since there is no abstract available, we provide the first paragraph

Can laparoscopic approach improve survival of patients with colon cancer? This is a crucial question for thousands of patients and many physicians in industrialized world. If laparoscopic approach improves, beyond documented early postoperative quality of life, also survival, then patients' reference to specialized departments with experience in laparoscopic surgery is an appropriate decisions making. Lacy et al. [1] in the July 2008 issue of the Annals of Surgery report on a randomized trial and conclude that laparoscopy-assisted colectomy (LAC) as compared with open colectomy (OC) for nonmetastatic colon cancer significantly improves recurrence-free and overall survival. Given the major clinical implications of this finding, if it is true, we would like comment on whether this is a robust conclusion or because of potential biases this finding can be interpreted as a chance occurrence.

Online ISSN : 1109 - 7647
   Print ISSN : 1109 - 7655

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last update: 3 February 2004