Laparoscopic resection of advanced colorectal cancer

Verheijen, P. M., Stevenson, A. R. L., Lumley, J. W., Clark, A. J., Stitz, R. W. and Clark, D. A. (2011) Laparoscopic resection of advanced colorectal cancer. British Journal of Surgery, 98 3: 427-430. doi:10.1002/bjs.7329

Author Verheijen, P. M.
Stevenson, A. R. L.
Lumley, J. W.
Clark, A. J.
Stitz, R. W.
Clark, D. A.
Title Laparoscopic resection of advanced colorectal cancer
Journal name British Journal of Surgery   Check publisher's open access policy
ISSN 0007-1323
Publication date 2011-03
Year available 2010
Sub-type Article (original research)
DOI 10.1002/bjs.7329
Volume 98
Issue 3
Start page 427
End page 430
Total pages 4
Place of publication Chichester, West Susse, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Palliative resection of the primary tumour in asymptomatic patients with stage IV colorectal cancer is associated with improved survival and fewer complications. Laparoscopic surgery is widely employed in the curative treatment of colorectal cancer, but its value in advanced colorectal cancer remains unclear.


All patients who underwent laparoscopic resection of primary colorectal cancer in this unit between June 1991 and Jan 2010 were entered into a prospective computerized database. Outcomes for patients with laparoscopic resection of stage IV colorectal cancer were compared with those of patients who had laparoscopic surgery for stage I disease.

Some 185 patients with stage IV colorectal cancer who underwent laparoscopic resection were compared with 310 patients who had stage I colorectal cancer. Some 94·1 and 98·4 per cent of operations respectively were completed laparoscopically. Hospital stay was slightly longer in the group with stage IV disease (mean 6·2 versus 5·3 days; P = 0·091). The 30-day mortality rate was 2·7 per cent in patients with stage IV disease and 0·6 per cent in those with stage I tumours (P = 0·061). There was no difference in complications. One-year survival rates were 77·8 and 99·0 per cent respectively (P < 0·001).

Short-term outcomes after laparoscopic surgery for stage IV colorectal cancer in selected patients are equivalent to those for stage I cancers.
Keyword Colon-Cancer
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article first published online: 25 November 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 7 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 20 Nov 2012, 14:32:34 EST by Andrew Stevenson on behalf of Surgery - Royal Brisbane and Women's Hospital