Laparoscopic resection of curable colon and rectal cancer: an evidence-based review

Surg Endosc. 2007 Jul;21(7):1063-8. doi: 10.1007/s00464-006-9172-x. Epub 2007 May 5.

Abstract

The initial enthusiastic application of laparoscopic techniques to colorectal surgical procedures was tempered in the early 1990s by reports of tumor implants in the laparoscopic incisions. Substantial evidence has accumulated, including evidence from randomized controlled trials, to support that laparoscopic resection results in oncologic outcomes similar to open resection, when performed by well-trained, experienced surgeons. This review was developed in conjunction with guidelines published by the Society of American Gastrointestinal and Endoscopic Surgeons. Data from the surgical literature concerning laparoscopic resection of curable colorectal cancer was evaluated regarding diagnostic evaluation, preoperative preparation, operative techniques, prevention of tumor implants, and training and experience. Recommendations are accompanied by an assessment of the level of supporting evidence available at the time of the development of the guidelines.

Publication types

  • Review

MeSH terms

  • Colectomy / methods*
  • Colonoscopy / adverse effects
  • Colonoscopy / methods
  • Colorectal Neoplasms / mortality
  • Colorectal Neoplasms / pathology*
  • Colorectal Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Laparoscopy / methods*
  • Male
  • Minimally Invasive Surgical Procedures / adverse effects
  • Minimally Invasive Surgical Procedures / methods
  • Neoplasm Invasiveness / pathology
  • Neoplasm Staging
  • Pain, Postoperative / physiopathology
  • Pain, Postoperative / prevention & control
  • Proctoscopy / adverse effects
  • Proctoscopy / methods
  • Randomized Controlled Trials as Topic
  • Risk Assessment