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Current Status of Laparoscopic Surgery in Colorectal Cancer

  • Surgery and Surgical Innovations in Colorectal Cancer (S Huerta, Section Editor)
  • Published:
Current Colorectal Cancer Reports

Abstract

Purpose of Review

We present a review of current status of laparoscopic surgery in the treatment of colorectal cancer. We discuss recent controversies and describe the results of latest minimally invasive techniques and technological innovations.

Recent Findings

Despite recent studies questioning the quality of laparoscopic total mesorectal excision, the long-term data currently available continue to support the use of laparoscopy for the treatment of rectal cancer. Laparoscopy can also achieve a complete oncologic resection of T4 colon cancer similar to open surgery in selected patients. However, the evidence for laparoscopic complete mesocolic excision is still limited. Regarding latest techniques, single-incision laparoscopic surgery is not superior to multiport laparoscopy. Robotic surgery provides several technical advantages and short-term benefits. However, cost-effectiveness has not been demonstrated. Transanal total mesorectal excision is a promising technique for distal mesorectal dissection with acceptable short-term patient outcomes.

Summary

The oncological safety of laparoscopic excision of colorectal cancer has been widely demonstrated. The critical review of the results obtained with latest techniques will determine which of them will remain as part of the surgical approach in the treatment of colorectal cancer.

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Authors and Affiliations

  1. Section of Colon and Rectal Surgery, Department of Surgery, Colorectal Cancer Research Group, Hospital del Mar Medical Research Institute, Passeig Marítim 25-29, 08003, Barcelona, Spain

    Marta Pascual, Marta Jiménez-Toscano & Miguel Pera

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  1. Marta Pascual
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  2. Marta Jiménez-Toscano
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  3. Miguel Pera
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This article is part of the Topical Collection on Surgery and Surgical Innovations in Colorectal Cancer

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Pascual, M., Jiménez-Toscano, M. & Pera, M. Current Status of Laparoscopic Surgery in Colorectal Cancer. Curr Colorectal Cancer Rep 13, 27–36 (2017). https://doi.org/10.1007/s11888-017-0345-x

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