The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer
Abstract
Introduction: The UK Medical Research Council CLASICC trial assessed the safety and efficacy of laparoscopically assisted surgery in comparison with open surgery for colorectal cancer. The results of the 5-year follow-up analysis are presented. Methods: Five-year outcomes were analysed and included overall and disease-free survival, and local, distant and wound/port-site recurrences. Two exploratory analyses were performed to evaluate the effect of age (70 years or less, or more than 70 years) on overall survival between the two groups, and the effect of the learning curve. Results: No differences were found between laparoscopically assisted and open surgery in terms of overall survival, disease-free survival, and local and distant recurrence. Wound/port-site recurrence rates in the laparoscopic arm remained stable at 2·4 per cent. Conversion to open operation was associated with significantly worse overall but not disease-free survival, which was most marked in the early follow-up period. The effect of surgery did not differ between the age groups, and surgical experience did not impact on the 5-year results. Conclusion: The 5-year analyses confirm the oncological safety of laparoscopic surgery for both colonic and rectal cancer. The use of laparoscopic surgery to maximize short-term outcomes does not compromise the long-term oncological results. Registration number: ISRCTN74883561 (http://www.controlled-trials.com).
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Cites
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Self-citationMeta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer
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Laparoscopically Assisted vs Open Colectomy for Colon Cancer: A Meta-analysis
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Laparoscopic Versus Open Surgery for Rectal Cancer: A Meta-Analysis
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Self-citationImportance of conversion for results obtained with laparoscopic colorectal surgery
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Could age be an indication for laparoscopic colectomy in colorectal cancer?
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Cited by
Breast Cancer, Version 4.2017, NCCN Clinical Practice Guidelines in Oncology
Gradishar, W. J., Anderson, B. O., Balassanian, R., Blair, S. L., Burstein, H. J., Cyr, A., Elias, A. D., Farrar, W. B., Forero, A., Giordano, S. H., et al. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.0012 · Cited by 1,609
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Self-citationYamamoto, S., Inomata, M., Katayama, H., Mizusawa, J., Etoh, T., Konishi, F., Sugihara, K., Watanabe, M., Moriya, Y., & Kitano, S. (2014) · Annals of Surgery · doi:10.1097/sla.0000000000000499 · Cited by 349
Laparoscopic versus open total mesorectal excision for rectal cancer
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Self-citation
Metadata
- Authors
- Jayne, D. G., Thorpe, H. C., Copeland, J., Quirke, P., Brown, J. M., & Guillou, P. J.
- Venue
- British Journal of Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-07-13
- Volume
- 97
- Issue
- 11
- Pages
- 1638-1645
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2139094974
- Cited by
- 1,008
- References
- 13
- FWCI
- 27.78
- Type
- journal article
- Language
- en
- Open access
- closed
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