It is still controversial whether laparoscopy-assisted colectomy (LAC) is suitable for patients with stage T4 colon cancer. This study aimed to compare the short- and long-term outcomes of LAC and open colectomy (OC) for patients with pathologic T4 colon cancer. | Laparoscopy-assisted colectomy as an Oncologically safe alternative for patients with stage T4 Colon Cancer A propensity-matched cohort study