Nd. Bouvy et al., LAPAROSCOPIC SURGERY IS ASSOCIATED WITH LESS TUMOR-GROWTH STIMULATIONTHAN CONVENTIONAL SURGERY - AN EXPERIMENTAL-STUDY, British Journal of Surgery, 84(3), 1997, pp. 358-361
Background The role of laparoscopic surgery for malignant disease is c
ontroversial, To evaluate differences in tumour growth after conventio
nal and laparoscopic surgery, an experimental study was performed in r
ats. Methods After intraperitoneal injection of CC-531 colonic cancer
cells or subcapsular renal implantation of CC-531 cancer cells, rats u
nderwent either laparoscopically assisted small bowel resection, open
small bowel resection or anaesthesia only. Peritoneal tumour growth an
d subcapsular renal tumour growth were assessed after operation. Resul
ts Peritoneal tumour growth was the least after anaesthesia only (P <
0.05) and less after laparoscopic than open resection (P < 0.05), Subc
apsular renal tumour growth after either laparoscopic resection or ana
esthesia only was less than after open resection (P < 0.01). Conclusio
n Laparoscopic surgery was associated with less tumour growth than con
ventional surgery in this experimental study.