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01-10-2020 | Rectal Cancer | Colorectal Cancer

The Landmark Series: Minimally Invasive (Laparoscopic and Robotic) Colorectal Cancer Surgery

Authors: Marco E. Allaix, MD, PhD, Fabrizio Rebecchi, MD, Alessandro Fichera, MD, FACS, FASCRS

Published in: Annals of Surgical Oncology | Issue 10/2020

Abstract

Current high-quality evidence supports the routine use of the laparoscopic approach for patients with colon cancer. Laparoscopic colectomy is associated with earlier resumption of gastrointestinal function and shorter hospital stay, with no increased morbidity or mortality. Pathology and long-term oncologic outcomes are similar to those achieved with open surgery. The absolute benefits of laparoscopic resection for rectal cancer are still under evaluation. While its safety in terms of early postoperative clinical outcomes has been confirmed, two recent randomized controlled trial (RCTs) have questioned its routine use even in expert hands, since its non-inferiority has not been demonstrated when compared with the gold standard of open surgery. Furthermore, the impact of robotic technology is still unclear, since the only RCT available so far failed to demonstrate any benefits compared with standard laparoscopic rectal resection.

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Title: The Landmark Series: Minimally Invasive (Laparoscopic and Robotic) Colorectal Cancer Surgery
Authors: Marco E. Allaix, MD, PhD
Fabrizio Rebecchi, MD
Alessandro Fichera, MD, FACS, FASCRS
Publication date: 01-10-2020
Publisher: Springer International Publishing
Keywords: Rectal Cancer
Rectal Cancer
Colon Cancer
Colon Cancer
Colorectal Cancer
Colorectal Cancer
Published in: Annals of Surgical Oncology / Issue 10/2020
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-020-08833-8

At a glance: The STEP trials

Springer Medicine

The Landmark Series: Minimally Invasive (Laparoscopic and Robotic) Colorectal Cancer Surgery

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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