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Fadi F. Attiyeh, MD

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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 . . . [Full Text of this Article]

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Use and Outcomes of Laparoscopic-Assisted Colectomy for Cancer in the United States
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