Invited Critique
Mar 2012

Laparoscopic Colectomy: Should It Be the Standard of Care?Comment on “Reduced Risk of Medical Morbidity and Mortality in Patients Selected for Laparoscopic Colorectal Resection in England”

Author Affiliations

Author Affiliation: Department of Surgery, The Johns Hopkins University, Baltimore, Maryland.

Arch Surg. 2012;147(3):227. doi:10.1001/archsurg.2011.1849

Laparoscopic colectomies have been performed in earnest in the United States and England since the mid-1990s, and yet the technique has not been widely adopted by surgeons as the preferred technique for performing colon resections. As Mamidanna and colleagues1 demonstrate in their large population-based series, as of March 2008, only 7.1% of all colectomies in England were laparoscopically performed. They have presented a retrospective review of the colectomies documented in the Hospital Episode Statistics database from England. They found that those patients undergoing a laparoscopic colectomy as compared with a traditional procedure have significantly reduced short- (30 days) and long-term (265 days) morbidity and mortality, specifically reductions in cardiopulmonary and deep venous thrombosis events.

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