[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
April 17, 2002

Laparoscopic-Assisted Surgery for Colon Cancer

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(15):1938-1939. doi:10.1001/jama.287.15.1935

To the Editor: Dr Weeks and colleagues1 conclude that the modest short-term QOL benefits of LAC are insufficient to justify its use in the treatment of colon cancer. However, we are less certain of this conclusion because there may have been varying degrees of laparoscopic expertise across the different centers. The recruitment of 289 patients from 37 centers in 42 months suggests an average of 2 patients per year enrolled at each center. The authors should provide data about the distribution of patients recruited and the average volume of procedures routinely performed to understand whether hospitals with low volumes of these surgeries were included in the trial. We believe that 20 laparoscopic colonic surgical cases are not a sufficient experience to be eligible and credentialed for participating in randomized trials about LAC for cancer.

First Page Preview View Large
First page PDF preview
First page PDF preview