Early results of laparoscopic surgery for colorectal cancer

Fleshman, James W.; Nelson, Heidi; Peters, Walter R.; Kim, H. Charles; Larach, Sergio W.; Boorse, Richard R.; Ambroze, Wayne L.; Leggett, Phillip L; Bleday, Ronald; Stryker, Steven J.; Christenson, Brent S.; Wexner, Steven D.; Senagore, Anthony J.; Rattner, David W.; Sutton, J. E. G.; Fine, Arthur P.

doi:10.1007/bf02053806

Cited by 284 publications

(28 citation statements)

References 26 publications

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“…General surgical and gynecologic literature provides several examples of abdominal wall metastases after laparoscopic procedures [23, 24]. However reviewing major series from these specialties shows no difference in tumor recurrence rates in wounds or the abdominal wall [25, 26].…”

Section: Pneumoperitoneummentioning

confidence: 99%

Laparoscopic Radical Nephrectomy

et al. 2001

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Section: Pneumoperitoneummentioning

confidence: 99%

Laparoscopic Radical Nephrectomy

et al. 2001

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“…A fairly uniform finding among reported series is that laparoscopic colorectal procedures almost invariably take longer than the comparable open procedure [12, 46,56,57,58,59]. The operating times are reduced with progress along the learning curve, and, importantly, they may approach the surgeon’s own times for the corresponding open procedure.…”

Section: Discussionmentioning

confidence: 86%

“…Port-site herniation can be largely prevented by the meticulous closure of all port sites >10 mm. Operative complications such as major haemorrhage, inadvertent enterotomy, ureteral injury, and major vessel laceration have all been reported, with rates ranging from 0 to 12% [6, 12, 14, 46, 51, 56, 57, 59]. The overall morbidity rate is between 6 and 39% [59,68,69,70,71,72,73,74,75,76,77].…”

Section: Complicationsmentioning

confidence: 99%

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Laparoscopy for Colorectal Malignancy

Pillinger

Monson

2005

Dig Surg

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Laparoscopy for colorectal pathology is technically demanding with a steep learning curve. In expert hands, there is no doubt that there is a place for laparoscopy in the operative armamentarium for the treatment of benign disease. The question of its application in the treatment of carcinoma is more difficult to address. The evidence available suggests that laparoscopic resection is a feasible and appropriate option for the treatment of colorectal carcinoma. The skill and technology to perform the procedure are developing apace, and level 1 evidence to support it is tantalizingly close. This paper will outline the development of the technique, the operative approach, and the available evidence for its use in the treatment of carcinoma.

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“…Standard procedures were right hemicolectomy, left hemicolectomy, anterior resection and abdominoperineal resection. The extent of adequate radical surgery may be a major problem of laparoscopic surgery, but recent series including retrospective and prospective registries as well as comparative studies have clearly demonstrated that oncologic principles are not compromised by laparoscopic techniques, and yield of lymph nodes, surgical margins (proximal, distal, and radial), and length of bowel resected were comparable to open cancer surgery [12][13][14][15][16][17][18][19][20][21]. To determine definitely whether laparoscopic resections for colorectal cancer can provide adequate oncologic surgery, several multicenter prospective randomized trials are currently underway.…”

Section: Oncologic Radicalitymentioning

confidence: 99%

Current Status of Laparoscopic Surgery in Colorectal Cancer

Bruch

Schwandner²

2001

Oncol Res Treat

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Laparoscopic colorectal procedures offer several benefits postoperatively, including reduction of pain, minimal impairment of pulmonary and gastrointestinal function, and improved reconvalescence. At present, laparoscopic resections for colorectal cancer are discussed controversially due to oncologic radicality, potential tumor dissemination, and the fundamental problem of port-site metastases. Oncologic standards of open surgery for colorectal cancer are not compromised by the laparoscopic technique. Short-term results of both retrospective and prospective trials comparing open with laparoscopic surgery for colorectal cancer showed comparable oncologic outcomes related to recurrence and survival. Despite extensive research efforts, neither the incidence of port-site recurrence nor its causes have been clarified definitely. However, according to the preliminary results of recently published studies, the problem of port-site metastases may not be an inherited detriment of laparoscopic surgery, but rather an unfortunate sequel to the learning curve of the application of laparoscopic surgery in colorectal cancer. Finally, as long-term results of prospective randomized trials are still missing, the crucial issue whether laparoscopic resection for colorectal cancer is oncologically equivalent to open surgery, cannot be answered definitely. Therefore, in the interim, laparoscopic curative resections in colorectal cancer are only to be offered within prospective randomized trials.

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Early results of laparoscopic surgery for colorectal cancer

Abstract: A laparoscopic approach to colorectal cancer results in early outcome after treatment that is comparable with conventional therapy for colorectal cancer. A randomized trial is needed to compare long-term outcomes of open and laparoscopic approaches with colorectal cancer.

Cited by 284 publications

References 26 publications

Laparoscopic Radical Nephrectomy

Laparoscopic Radical Nephrectomy

Laparoscopy for Colorectal Malignancy

Current Status of Laparoscopic Surgery in Colorectal Cancer

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