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Current Colorectal Cancer Reports
Published in: Current Colorectal Cancer Reports 1/2017

01-02-2017 | Surgery and Surgical Innovations in Colorectal Cancer (S Huerta, Section Editor)

Current Status of Laparoscopic Surgery in Colorectal Cancer

Authors: Marta Pascual, Marta Jiménez-Toscano, Miguel Pera

Published in: Current Colorectal Cancer Reports | Issue 1/2017

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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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Metadata
Title
Current Status of Laparoscopic Surgery in Colorectal Cancer
Authors
Marta Pascual
Marta Jiménez-Toscano
Miguel Pera
Publication date
01-02-2017
Publisher
Springer US
Published in
Current Colorectal Cancer Reports / Issue 1/2017
Print ISSN: 1556-3790
Electronic ISSN: 1556-3804
DOI
https://doi.org/10.1007/s11888-017-0345-x

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