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Fadi F. Attiyeh, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article "Use and Outcomes of Laparoscopic-Assisted Colectomy for Cancer in the United States" by Bilimoria et al¹ concluded that "laparoscopic-assisted colectomy and [open colectomy] outcomes are generally comparable in the population." The 2 procedures may be comparable, but the study raises questions as to the adequacy of resections in both arms. A 2003 study using the National Cancer Data Base showed a direct correlation between the number of resected lymph nodes and survival in stage II colon cancer.² Another study, by Le Voyer et al,³ showed a similar correlation in stage II and III colon cancer. Most now agree that to be adequate, a resection should have a minimum of 12 nodes. In the study by Bilimoria et al, more than 50% of the patients had fewer than 12 lymph nodes resected and therefore inadequate resections. It is also disconcerting to note that some patients . . . [Full Text of this Article]

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