Carcinoma of the Cecum

  • José E. Torres
  • James N. Lau
  • Sherry M. Wren
  • Tzu-Chi Hsu

For surgeons accustomed to performing right hemicolectomy through a small right transverse incision, the benefits of a laparoscopic approach to the right colon are not obvious. Such an approach requires an incision to deliver the specimen and to perform the anastomosis. This chapter explores the pros and cons of the minimal-access approach to this diagnosis, and gives tips for success with either technique.


Laparoscopic Colectomy Open Colectomy Open Surgery Group Oncologic Resection Port Site Metastasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Lacy AM, Delgado S, Garcia-Valdecasas JC, et al. Port site metastases and recurrence after laparoscopic colectomy: a randomized trial. Surg Endosc 1998;12:1039–1042.CrossRefPubMedGoogle Scholar
  2. Lacy AM, Garcia VJ, Pique JM, et al. Short-term outcome analysis of a randomized study comparing laparoscopic vs open colectomy for colon cancer. Surg Endosc 1995;9:1101–1105.PubMedGoogle Scholar
  3. Leung KL, Kwok SPY, Lam SCW, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet 2004;363:1187–1192.CrossRefPubMedGoogle Scholar
  4. Reza MM, Blasco JA, Andradas E, et al. Systematic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg 2006;93:921–928.CrossRefPubMedGoogle Scholar
  5. Weeks JC, Nelson H, Gelber S, et al. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs. open colectomy for colon cancer. JAMA 2002;287(3):321–328.CrossRefPubMedGoogle Scholar
  6. Young-Fadok TM. Colon cancer: trials, results, techniques (LAP and HALS), future. J Surg Oncol 2007;96(8):651–659.CrossRefPubMedGoogle Scholar

Suggested Readings

  1. Bokey EL, Moore JW, Chapius PH, Newland RC. Morbidity and morality following laparoscopic-assisted right hemicolectomy for cancer. Dis Colon Rectum 1998;41:832–838.CrossRefGoogle Scholar
  2. Brown SR, Eu KW, Seow-Choen F. Consecutive series of laparoscopic-assisted vs. mini-laparotomy restorative proctocolectomies. Dis Colon Rectum 2001;44:397–404.CrossRefPubMedGoogle Scholar
  3. Chapman AE, Levitt MD, Hewett P, Woods R, Sheiner H, Madden GJ. Laparoscopic-assisted resection of colorectal malignancies. Ann Surg 2001;234:591–606.CrossRefGoogle Scholar
  4. Chen WS, Lin WC, Kou YR, Kuo HS, Hsu H, Yang WK. Possible effect of pneumoperitoneum on the spreading of colon cancer tumor cells. Dis Colon Rectum 1997;40:791–797.CrossRefPubMedGoogle Scholar
  5. Clinical Outcomes of Surgical Therapy Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350:2050-2059.Google Scholar
  6. Goh YC, Eu KW, Seowchoen F. Early postoperative results of a prospective series of laparoscopic vs open anterior resections for rectosigmoid cancers. Dis Colon Rectum 1997;40:776–780.CrossRefPubMedGoogle Scholar
  7. Guller U, Jain N, Hervey, S, Purves H, Pietrobon R. Laparoscopic vs open colectomy. Outcomes comparison based on large nationwide Databases. Arch Surg 2003;138:1179–1186.CrossRefPubMedGoogle Scholar
  8. Hartley JE, Mehigan BJ, MacDonald AW, et al. Patterns of recurrence and survival after laparoscopic and conventional resections for colorectal carcinoma. Ann Surg 2000;232:181–186.CrossRefPubMedGoogle Scholar
  9. Hsu TC, Leu SC, Su CF, Huang PC, Tsai LF, Tsai SL. Assessment of intragastric pH value changes after early nasogastric feeding. Nutrition 2000;9:751–754.CrossRefGoogle Scholar
  10. Hsu TC. Feasibility of colectomy with mini-incision. Am J Surg 2005;190:48–50.CrossRefPubMedGoogle Scholar
  11. Hubens G, Pawels M, Hubens A, et al. The influence of pneumoperitoneum on the peritoneal implantation of free intraperitoneal colon cancer cells. Surg Endosc 1996;10:809–812.CrossRefPubMedGoogle Scholar
  12. Jacobi AC, Sabat R, Bohm B, et al. Pneumoperitoneum with carbon dioxide stimulates growth of malignant colonic cells. Surgery 1997;121:72–78.CrossRefPubMedGoogle Scholar
  13. Kasparek MS, Muller MH, Glatzle J, et al. Postoperative colonic motility in patients following laparoscopic assisted and open sigmoid colectomy. J Gastrointestinal Surg 2003;7(8):1073–1081.CrossRefGoogle Scholar
  14. Kim SH, Milson JW, Gramlich TL, et al. Does laparoscopic vs. conventional surgery increase exfoliated cancer cells in the peritoneal cavity during resection of colorectal cancer? Dis Colon Rectum 998;41:971-977.Google Scholar
  15. Leung KL, Kwok SY, Lau WY, et al. Laparoscopic-assisted resection of rectosigmoid carcinoma: immediate and medium-term results. Arch Surg 1997;132:761–764.PubMedGoogle Scholar
  16. Martel G, Boushey RP. Laparoscopic colon surgery: past, present and future. Surg Clin North Am 2006;86:867–897.CrossRefPubMedGoogle Scholar
  17. Nelson H, Sargent DJ, Wieand HS, et al. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350(20):2049–2059.Google Scholar
  18. Philipson BM, Bokey EL, Moore JE, et al. Cost of open versus laparoscopically assisted right hemicolectomy for cancer. World J Surg 1997;21:214–217.CrossRefPubMedGoogle Scholar
  19. SAGES Publication. Guidelines for laparoscopic resection of curable colon and rectal cancer.
  20. Schlachta CM, Mamazza J, Gregoire R, Burpee SE, Poulin EC, Could laparoscopic colon and rectal surgery become the standard of care? A review and experience with 750 procedures. Can J Surg 2003;46(6):432–440.PubMedGoogle Scholar
  21. Scott-Conner CEH. Right and left colon resections. In: Scott-Conner CEH, Dawson DL, eds. Operative Anatomy, 2nd ed. Philadelphia: Lippincott, 2003;470–483.Google Scholar
  22. Stage JG, Schulze S, Moller P, et al. Prospective randomized study of laparoscopic versus open colonic resection for adenocarcinoma. Br J Surg 1997;84:391–396.CrossRefPubMedGoogle Scholar
  23. Tate JT, Kwok S, Dawson JW, et al. Prospective comparison of laparoscopic and conventional anterior resection. Br J Surg 1993;80:1396–1398.CrossRefPubMedGoogle Scholar
  24. Tomita H, Marcelo PW, Milson JW. Laparoscopic surgery of the colon and rectum [review]. World J Surg 1999;23:397–405.CrossRefPubMedGoogle Scholar
  25. Wexner SD, Cohen SM. Port site metastases after laparoscopic colorectal surgery for cure of malignancy. Br J Surg 1995;82:295–298.CrossRefPubMedGoogle Scholar
  26. Whelan RL, Young-Fadok TM. Should carcinoma of the colon be treated laparoscopically? Surg Endosc 2004;18:857–862.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • José E. Torres
    • 1
  • James N. Lau
    • 2
  • Sherry M. Wren
    • 3
  • Tzu-Chi Hsu
    • 4
  1. 1.Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Department of SurgeryUniversity of Nevada School of MedicineLas VegasUSA
  3. 3.Stanford University Medical CenterPalo AltoUSA
  4. 4.Department of SurgeryTaipei Medical UniversityTaipeiTaiwan

Personalised recommendations