Controversies in laparoscopy for colon and rectal cancer

Kellie L. Mathis, Heidi Nelson

Research output: Contribution to journalReview article

20 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)35-47
Number of pages13
JournalSurgical Oncology Clinics of North America
Volume23
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • Colon cancer
  • Laparoscopic surgery
  • Oncologic outcomes
  • Rectal cancer
  • Surgical morbidity

ASJC Scopus subject areas

  • Surgery
  • Oncology

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