[Current status on laparoscopic surgery for colorectal cancer].
The current status of laparoscopic surgery and its indications for colorectal cancer are described. According to multi-institutional registry by the Japanese Society of Endoscopic Surgeons, the number of laparoscopic surgeries for advanced colorectal cancer has been increasing during the last couple years. The short- and long-term results of laparoscopic surgery for pT1 or pT2 colon cancer are favourable, and laparoscopic surgery could be a standard procedure for such cases. However, the indications for pT3/T4 cancer remain controversial due to limited length of follow-up. A multi-centre randomised controlled trial (RCT) comparing open with laparoscopic surgery for advanced (T3/T4) cancer is to start in autumn this year. Laparoscopic surgery for such cases should be confined to trial cases. Laparoscopic surgery for rectal cancer is feasible; however, it is associated with higher anastomotic leak rates. Issues on education and medical costs need to be resolved.
Hasegawa
Hirotoshi
H
Department of Surgery, Keio University School of Medicine, 35 Shinano-machi, Shinjuku-ku, Tokyo 160-8582, Japan.
Nishibori
Hideki
H
Ishii
Yoshiyuki
Y
Kitajima
Masaki
M
D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D003365:Costs and Cost Analysis; D006801:Humans; D010535:Laparoscopy / Q000191:economics / Q000706:statistics & numerical data*; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D009367:Neoplasm Staging; D011379:Prognosis; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012042:Registries / Q000706:statistics & numerical data*; D016896:Treatment Outcome