Laparoscopic vs Open Surgery for Colon Cancer

Albert B. Lowenfels, MD


February 28, 2013

Long-term Outcomes of the Australasian Randomized Clinical Trial Comparing Laparoscopic and Conventional Open Surgical Treatments for Colon Cancer: the Australasian Laparoscopic Colon Cancer Study Trial

Bagshaw PF, Allardyce RA, Frampton CM, et al; Australasian Laparoscopic Colon Cancer Study Group
Ann Surg. 2012;256:915-919


Is long-term survival after laparoscopic resection for colon cancer equivalent to that after open resection? This study from Australia and New Zealand compared survival among 567 patients who were followed for 5 years. Overall survival was similar in the 2 groups, and no differences were found in recurrence-free survival (P = .70) or absence of recurrence (P = .85).


Laparoscopic surgery quickly became the accepted method for cholecystectomy and now seems to be an effective method for managing colon cancer. The early results were promising, and survival data accumulating from major centers worldwide indicate that the long-term results are just as effective. Because there is no survival advantage with laparoscopic surgery, open surgery continues to be an acceptable option for managing this common type of cancer.