Outcomes of laparoscopic colon cancer surgery in a population-based cohort in British Columbia: are they as good as the clinical trials?

Complicated postoperative recovery increases omission, delay and discontinuation of adjuvant chemotherapy in patients with Stage III colon cancer

“…Compared with other population‐based studies, our results show a relatively high laparoscopic surgery rate in Stage III colon cancer patients . However, elderly patients may have the same short‐term advantages of laparoscopic colectomy as younger patients (less pain, quicker bowel function recovery and a shorter hospital stay) .…”

Comparing oncological outcomes of laparoscopic versus open surgery for colon cancer: Analysis of a large prospective clinical database

“…Again, however, there were significant issues with coding (conversions from laparoscopic to open were coded as open), missing data (co‐morbidity was not recorded), and time bias was not accounted for . Administrative data from British Columbia which showed no difference in survival suffered from very similar biases, but also had a relatively short median follow‐up time of just over 2 years making the results even less reliable .…”

Qualitative and Quantitative Issues of Lymph Nodes as Prognostic Factor in Colon Cancer

“…In 1990, a Working Party Report recommended to the World Congress of Gastroenterology in Sydney that at least 12 lymph nodes should be sampled to stage a patient with colorectal cancer [7,8]. Since then, curative surgery of colorectal cancer has strived towards reaching ≥12 nodes, although an adequate yield is only achieved in about 60% of patients, even in the most recent series of both open and laparoscopic surgery [9]. Numerous publications about the optimal number of retrieved lymph nodes have been published.…”