Controversies in laparoscopy for colon and rectal cancer - PubMed (original) (raw)

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Controversies in laparoscopy for colon and rectal cancer

Kellie L Mathis et al. Surg Oncol Clin N Am. 2014 Jan.

Abstract

There is sufficient level I evidence to support and even recommend laparoscopy as the surgical modality of choice for colon cancer resection. Laparoscopy offers improved short-term outcomes and at least equivalent long-term oncologic outcomes when compared with open resection. Laparoscopic rectal cancer surgery remains investigational. Short-term results from a large multinational randomized trial suggest that laparoscopy is not inferior to open total mesorectal excision with regard to completeness of resection and short-term morbidity and mortality. It is necessary to await the long-term oncologic results of current studies before embracing laparoscopic proctectomy for rectal cancer.

Keywords: Colon cancer; Laparoscopic surgery; Oncologic outcomes; Rectal cancer; Surgical morbidity.

Copyright © 2014 Elsevier Inc. All rights reserved.

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