Laparoscopic surgery for colon cancer.
Colon cancer is a major problem in Western countries and complete surgical resection is the main treatment. Since its introduction the laparoscopic approach has been used to achieve bowel resection with a better postoperative course and better aesthetic outcomes. Initial concerns about the radicality of the resection and the oncologic outcomes have been overcome in the last decade. All over the world large trials have been conducted to compare the laparoscopic approach and the traditional laparotomic one. A review of literature has been conducted to find evidence about this issue, revealing 24 relevant trials. The laparoscopic approach showed short-term benefits without compromising oncological safety. However intraoperative complication rates during laparoscopic colon resections seem to be increased, mainly due to the increased rate of intraoperative bowel injury. This finding confirms a great need for training and a wide learning curve for the surgeon. Our review supports the continued use of laparoscopic surgery in patients with colon cancer.
Department of General Surgery Aosta Valley Regional Hospital Umberto Parini, Aosta (Paolo Millo, Riccardo Brachet Contul, Massimiliano Fabozzi, Manuela Grivon, Mario Junior Nardi , Rosaldo Allieta), Italy.
Paolo
P
Millo
Department of General Surgery, ASL Napoli 1, PO "Cardinale Ascalesi", Naples (Corrado Rispoli), Italy.
Corrado
C
Rispoli
Department of General Surgery, University "Federico II" of Naples (Nicola Rocco), Italy.
Nicola
N
Rocco
Department of General Surgery Aosta Valley Regional Hospital Umberto Parini, Aosta (Paolo Millo, Riccardo Brachet Contul, Massimiliano Fabozzi, Manuela Grivon, Mario Junior Nardi , Rosaldo Allieta), Italy.
Riccardo Brachet
RB
Contul
Department of General Surgery Aosta Valley Regional Hospital Umberto Parini, Aosta (Paolo Millo, Riccardo Brachet Contul, Massimiliano Fabozzi, Manuela Grivon, Mario Junior Nardi , Rosaldo Allieta), Italy.
Massimiliano
M
Fabozzi
Department of General Surgery Aosta Valley Regional Hospital Umberto Parini, Aosta (Paolo Millo, Riccardo Brachet Contul, Massimiliano Fabozzi, Manuela Grivon, Mario Junior Nardi , Rosaldo Allieta), Italy.
Manuela
M
Grivon
Department of General Surgery Aosta Valley Regional Hospital Umberto Parini, Aosta (Paolo Millo, Riccardo Brachet Contul, Massimiliano Fabozzi, Manuela Grivon, Mario Junior Nardi , Rosaldo Allieta), Italy.
Mario Junior
MJ
Nardi
Department of General Surgery Aosta Valley Regional Hospital Umberto Parini, Aosta (Paolo Millo, Riccardo Brachet Contul, Massimiliano Fabozzi, Manuela Grivon, Mario Junior Nardi , Rosaldo Allieta), Italy.
Rosaldo
R
Allieta
Colon cancer; laparoscopy, colon resection; mini-invasive surgery