Immunologic and oncologic implications of laparoscopic surgery: what is the latest?
Laparoscopic surgery has been associated with many short-term benefits such as a shorter time to recovery, return of bowel function, less pain, and a decrease in wound infection rate. Several animal and human experiments have demonstrated an immunologic and oncologic benefit of minimally invasive surgery. Whether these results will translate into similar results in human settings is unclear. Although the first published prospective randomized clinical trial suggests better long-term outcomes for patients undergoing laparoscopic surgery, results from other ongoing randomized, controlled clinical trials are needed to verify this controversial result.
Lee
Sang W
SW
Department of Surgery, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY 10021, USA. sal2013@med.cornell.edu
Whelan
Richard L
RL