Laparoscopic surgery for colon cancer

Is Gum Chewing Useful for Ileus After Elective Colorectal Surgery? A Systematic Review and Meta-Analysis of Randomized Clinical Trials

“…27,28 An open colorectal surgery has a more prolonged postoperative ileus than a laparoscopic-assisted colorectal surgery, probably due to a longer visceral manipulation and environmental exposure and higher use of analgesic drugs to control postoperative pain. [29][30][31] We found that gum chewing especially benefited patients who underwent open surgery. Gum chewing can also extend the benefits of the minimally invasive laparoscopic surgery.…”

Laparoscopic abdominoperineal resection revisited: are there any health–related benefits? A comparative study

“…The use of laparoscopic approach provides a magnified view, enabling precise anatomical dissection and therefore involving less manipulation of the tumour-bearing part of the bowel. Another reason for this difference may be the adverse effects of open surgery on the immune system [25][26][27]. Laparoscopic surgery alleviates the need for a long midline laparotomy wound and therefore minimizes access trauma D.C.T.…”

The diagnostic value of multiplanar reconstruction on MDCT colonography for the preoperative staging of colorectal cancer

“…Several previous studies have demonstrated that preoperative neoadjuvant therapy plus surgery for advanced rectal cancer (T3; T4) results in better survival rates, better local control and comparable better toxicity than surgery alone [20][21][22]. In addition, laparoscopy-assisted colectomy has been accepted as being less invasive than open surgery for colorectal cancer with mucosal or submucosal invasion, although the latter is still preferable for the treatment of more advanced cancers [23,24]. Therefore, accurate staging of colorectal cancer is required in order to determine the most appropriate treatment strategy and to evaluate the results of adjuvant treatments.…”