Laparoscopic and Minimally Invasive Resection of Malignant Colorectal Disease

Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792-7375, USA.
Surgical Clinics of North America (Impact Factor: 1.88). 11/2008; 88(5):1047-72, vii. DOI: 10.1016/j.suc.2008.05.009
Source: PubMed


Minimally invasive surgery for colorectal cancer is a burgeoning field of general surgery. Randomized controlled trials have assessed short-term patient-oriented and long-term oncologic outcomes for laparoscopic resection. These trials have demonstrated that the laparoscopic approach is equivalent to open surgery with a shorter hospital stay. Laparoscopic resection also may result in improved short-term patient-oriented outcomes and equivalent oncologic resections versus the open approach. Transanal excision of select rectal cancer using endoscopic microsurgery is promising and robotic-assisted laparoscopic surgery is an emerging modality. The efficacy of minimally invasive treatment for rectal cancer compared with conventional approaches will be clarified further in randomized controlled trials.

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    • "Minimally invasive techniques have revolutionized general surgery, especially in the field of gastrointestinal surgery. Many authors argue that the era of laparoscopic technique had begun in 1987, when Mouret performed the first laparoscopic cholecystectomy (Koopmann et al., 2008; Law et al., 2007). Since that point, laparoscopic technique has become the first choice for a multitude of surgical procedures: cholecystectomy, gastric bypass, fundoplication and its variants are some examples of procedures which are currently performed laparoscopically (Stage et al., 1997; Lacy et al., 2002). "

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