Lymph Node Yield in Open vs. Laparoscopic Surgery for Colorectal Cancer: A Retrospective Observational Study | Chapter 16 | New Frontiers in Medicine and Medical Research Vol. 7
The goal of this study is to compare the lymph node yield between open and laparoscopic techniques for oncological excision using 12 lymph nodes as a reference. In the last decade of surgery's history, laparoscopic surgery has become the standard treatment for colorectal cancer. Open surgery for CRC is now only recommended in a few situations. With the advancement of laparoscopic devices and the acceptance of laparoscopic and robotic techniques by a new generation of surgeons, open surgery began to fade away as the standard of care in all well-equipped hospitals and clinics across the world. Short and long-term benefits of the laparoscopic approach include a minimally invasive technique and fewer wound healing complications, however in CRC surgical procedures, neoplasm staging and eradication have a significant impact on survival and morbidity outcomes. The lymph node yield was used as an oncological determinant factor for prognosis and the necessity for additional therapy in this study, which compared laparoscopic and open surgical techniques for CRC. The study recommends laparoscopic CRC surgery because it has a better oncological outcome when compared to open surgery when lymph node yield is considered a single oncological factor. However, certain cases, such as T4 colorectal cancer, locally advanced tumours, medical conditions, and obstructed CRC, may require open surgery.
Author (S) Details
Ahmed Elamin Elsadig
Abdalla
Discipline
of Surgery, School of Medicine, Clinical Science Institute, National University
of Ireland, Galway, Ireland.
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