Correspondence |

Is Laparoscopic Colectomy a Good Operation for Colon Cancer?

Fadi F. Attiyeh, MD
Arch Surg. 2009;144(3):289-292. doi:10.1001/archsurg.2008.566.
Text Size: A A A
Published online


The article “Use and Outcomes of Laparoscopic-Assisted Colectomy for Cancer in the United States” by Bilimoria et al1 concluded that “laparoscopic-assisted colectomy and [open colectomy] outcomes are generally comparable in the population.” The 2 procedures may be comparable, but the study raises questions as to the adequacy of resections in both arms. A 2003 study using the National Cancer Data Base showed a direct correlation between the number of resected lymph nodes and survival in stage II colon cancer.2 Another study, by Le Voyer et al,3 showed a similar correlation in stage II and III colon cancer. Most now agree that to be adequate, a resection should have a minimum of 12 nodes. In the study by Bilimoria et al, more than 50% of the patients had fewer than 12 lymph nodes resected and therefore inadequate resections. It is also disconcerting to note that some patients had a positive resection margin, which should not happen when treating colon cancer.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Clinical Scenario