Minimally invasive techniques for colorectal cancer

Tonia M. Young-Fadok

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Laparoscopic approaches are increasingly being applied to colorectal surgical procedures. Initial concerns regarding the existence of benefits from the laparoscopic approach have now been addressed. Even as these were being addressed, however, further concerns arose regarding the appropriateness of this technique in malignancy. Colorectal cancer is the only intra-abdominal malignancy that is knowingly resected employing laparoscopic techniques. This controversy was highlighted by reports of early wound implants. With careful technique, training and experience, however, wound recurrences are rarely seen, suggesting that this phenomenon, in the clinical setting, is primarily technique-related. Lack of rigorous evidence either condemning or supporting the laparoscopic approach for colorectal cancer resulted in the establishment of several large-scale randomized, prospective trials, all currently in progress, that aim to determine if laparoscopic resection of colorectal cancer results in oncologic outcomes comparable to the open approach. Copyright (C) 1999 Elsevier Science Ltd.

Original languageEnglish (US)
Pages (from-to)165-173
Number of pages9
JournalSurgical Oncology
Volume7
Issue number3-4
DOIs
StatePublished - Nov 1998

Keywords

  • Colon cancer
  • Laparoscopic colectomy
  • Randomized trial
  • Trocar site recurrence
  • Wound implants

ASJC Scopus subject areas

  • Surgery
  • Oncology

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