Laparoscopic and minimally invasive resection of malignant colorectal disease.
Minimally invasive surgery for colorectal cancer is a burgeoning field of general surgery. Randomized controlled trials have assessed short-term patient-oriented and long-term oncologic outcomes for laparoscopic resection. These trials have demonstrated that the laparoscopic approach is equivalent to open surgery with a shorter hospital stay. Laparoscopic resection also may result in improved short-term patient-oriented outcomes and equivalent oncologic resections versus the open approach. Transanal excision of select rectal cancer using endoscopic microsurgery is promising and robotic-assisted laparoscopic surgery is an emerging modality. The efficacy of minimally invasive treatment for rectal cancer compared with conventional approaches will be clarified further in randomized controlled trials.
Koopmann
Matthew C
MC
Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792-7375, USA.
Heise
Charles P
CP
D003082:Colectomy / Q000379:methods; D003110:Colonic Neoplasms / Q000601:surgery; D015179:Colorectal Neoplasms / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D019060:Minimally Invasive Surgical Procedures; D009364:Neoplasm Recurrence, Local; D011788:Quality of Life; D012004:Rectal Neoplasms / Q000601:surgery; D012371:Robotics