Sanjiv K Patankar1, Way Lee. 1. Colon and Rectal Surgeons of Central New Jersey, East Brunswick, New Jersey 08816, USA. skp123_58@yahoo.com
Abstract
GOALS: To define the current role of laparoscopic resection for colorectal cancer. BACKGROUND: Perhaps in no other field has so much controversy been generated by laparoscopy as in its application to curative resection of cancer of the colon and rectum. The main controversy centers around the oncologic outcomes of laparoscopic resections. The 3 major issues are: the adequacy of oncologic resection, recurrence rates and patterns, and the long-term survival. STUDY: A review of published data by search of Medline database with focus on clinical studies. RESULTS: Laparoscopic colectomy is feasible and safe. Modest benefits in the quality of life are observed. Same oncologic resection can be performed laparoscopically with no adverse influence on the recurrence rates. In particular, wound recurrences are not a specific complication of laparoscopic technique. At least equivalent survival is obtained by laparoscopic colectomy. CONCLUSIONS: Laparoscopy does not seem to adversely affect chance of cure of colorectal cancer.
GOALS: To define the current role of laparoscopic resection for colorectal cancer. BACKGROUND: Perhaps in no other field has so much controversy been generated by laparoscopy as in its application to curative resection of cancer of the colon and rectum. The main controversy centers around the oncologic outcomes of laparoscopic resections. The 3 major issues are: the adequacy of oncologic resection, recurrence rates and patterns, and the long-term survival. STUDY: A review of published data by search of Medline database with focus on clinical studies. RESULTS: Laparoscopic colectomy is feasible and safe. Modest benefits in the quality of life are observed. Same oncologic resection can be performed laparoscopically with no adverse influence on the recurrence rates. In particular, wound recurrences are not a specific complication of laparoscopic technique. At least equivalent survival is obtained by laparoscopic colectomy. CONCLUSIONS: Laparoscopy does not seem to adversely affect chance of cure of colorectal cancer.
Authors: D Kanellos; M G Pramateftakis; G Vrakas; I Mantzoros; T Tsachalis; P Hatzigianni; I Kanellos Journal: Tech Coloproctol Date: 2010-11 Impact factor: 3.781