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. 2010 Feb;23(1):51-8.
doi: 10.1055/s-0030-1247856.

Laparoscopy for colon and rectal cancer

Govind Nandakumar  1 , James W Fleshman
Affiliations

Laparoscopy for colon and rectal cancer

Govind Nandakumar et al. Clin Colon Rectal Surg. 2010 Feb.

Abstract

Laparoscopy has emerged as a useful tool in the surgical treatment of diseases of the colon and rectum. Specifically, in the application of colon cancer, a laparoscopic-assisted approach offers short-term benefits to patients while maintaining a long-term oncologic outcome. Hand-assisted laparoscopic surgery may help decrease operative times while preserving the benefits of laparoscopy. The literature on the use of laparoscopy for rectal cancer is still in its early stages. Limited data suggest short-term benefits without compromising oncologic outcome; however, data from large multicenter trials will clarify the role of laparoscopy in the treatment of rectal cancer. Robotic proctectomy is a novel technique that may offer considerable advantage and overcome some limitations laparoscopy creates while working in the confines of the pelvis. The improved magnification and visualization offered with the robot may also assist in preserving bladder and sexual function. Transanal endoscopic microsurgery (TEM) for the treatment of T1 rectal cancers with low-risk features appears to be safe. However, TEM has a significantly higher recurrence rate when used to treat invasive cancer. Endoluminal techniques and equipment are under development and could offer more minimally invasive approaches to the treatment of colon and rectal cancer. Credentialing and training of surgeons and teams involved in the use of laparoscopy is important prior to making these techniques ubiquitous.

Keywords: Colon cancer; laparoscopy; rectal cancer.

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References

    1. Jacobs M, Verdeja J C, Goldstein H S. Minimally invasive colon resection (laparoscopic colectomy) Surg Laparosc Endosc. 1991;1(3):144–150. - PubMed
    1. Soop M, Nelson H. Is laparoscopic resection appropriate for colorectal adenocarcinoma? Adv Surg. 2008;42:205–217. - PubMed
    1. Fleshman J, Sargent D J, Green E, et al. for The Clinical Outcomes of Surgical Therapy Study Group Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg. 2007;246(4):655–662. discussion 662–664. - PubMed
    1. Veldkamp R, Kuhry E, Hop W C, et al. COlon cancer Laparoscopic or Open Resection Study Group (COLOR) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2005;6(7):477–484. - PubMed
    1. Guillou P J, Quirke P, Thorpe H, et al. MRC CLASICC trial group Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718–1726. - PubMed