What are the NCCN guidelines for use of laparoscopic-assisted colectomy in the treatment of colon cancer?

Updated: Apr 15, 2020
  • Author: Tomislav Dragovich, MD, PhD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Answer

National Comprehensive Cancer Network (NCCN) guidelines also recommend colectomy, with en bloc removal of regional lymph nodes, for treatment of resectable, nonobstructing colon cancer. [93]  In addition, for clinical T4b disease, neoadjuvant chemotherapy may be considered. The NCCN states that laparoscopic-assisted colectomy may be considered, based upon the following criteria:

  • The surgeon has experience performing laparoscopically assisted colorectal operations
  • No locally advanced disease, acute bowel obstruction, or perforation from cancer is present
  • Thorough abdominal exploration is required
  •  Preoperative marking of small lesions should be considered

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