Favorable outcomes with laparoscopic surgery for rectal cancer

The Implementation of a Standardized Approach to Laparoscopic Rectal Surgery

“…13,14 Nonetheless, laparoscopic rectal surgery has been viewed with significant skepticism by the surgical community, and the majority of rectal resections continue to be carried out using the conventional open approach. Currently, several multicenter randomized controlled trials comparing laparoscopic and open surgery for rectal cancer are registered, and until these data become available, some surgeons believe that open total mesorectal excision is regarded as the gold standard treatment of rectal cancer.…”

Favorable outcomes with laparoscopic surgery for rectal cancer

“…This retrospective study, not intended to be a comparison between open and laparoscopic surgery, was reported without long-term outcome data. Therefore, as stated by Liakakos et al [1] In addition, the comparing laparoscopic and open surgery for rectal cancer (COLOR II) trial (NCT00297791) will fulfil the profound need for a well-designed and performed randomized trial. Recently, this COLOR II trial finished randomization of 1,100 patients.…”

“…Liakakos et al [1] concluded from a retrospective series of 1,057 selected patients studied by Miyajima et al [2] that laparoscopic surgery for rectal cancer is safe. Although cohort studies have shown safety, the most important outcomes such as disease-free survival and the recurrence rate need to be demonstrated in prospective randomized controlled trials before laparoscopic surgery is accepted as the standard approach.…”