title: What should we intend for minimally invasive treatment of colorectal cancer?
abstract: Non-inferiority of laparoscopic treatment of colorectal cancer (CRC) has been demonstrated in randomized controlled trials although operative and perioperative management varies widely among centers. Literature data in English language published up to April 15, 2014 were analyzed in order to give an up to date analysis that would highlights the key aspects of a modern and factual minimally invasive treatment of CRC. Laparoscopic resection is the first choice treatment of colon cancer. Laparoscopic resection of rectal cancer should be considered an investigational procedure to be performed in high volume centers with special interest in laparoscopy and colorectal surgery. Less invasive approaches should be taken into account with the aim of reducing surgical stress. The adoption of ERAS programs has demonstrated to optimize short-term results. Future research should be directed to prove possible long-term advantages, in terms of overall and disease-free survival, of minimally invasive treatment of CRC.
authors: Dipartimento di Chirurgia, Chirurgia Generale A, Policlinico "G.B. Rossi", Università degli Studi di Verona, Italy. Electronic address: corrado.pedrazzani@univr.it.
authors: Corrado
authors: C
authors: Pedrazzani
authors: Dipartimento di Chirurgia, Chirurgia Generale A, Policlinico "G.B. Rossi", Università degli Studi di Verona, Italy.
authors: Margherita
authors: M
authors: Moro
authors: Dipartimento di Chirurgia, Chirurgia Generale A, Policlinico "G.B. Rossi", Università degli Studi di Verona, Italy.
authors: Gianmarco
authors: G
authors: Ghezzi
authors: Dipartimento di Chirurgia, Chirurgia Generale A, Policlinico "G.B. Rossi", Università degli Studi di Verona, Italy.
authors: Andrea
authors: A
authors: Ruzzenente
authors: Dipartimento di Chirurgia, Chirurgia Generale A, Policlinico "G.B. Rossi", Università degli Studi di Verona, Italy.
authors: GianGaetano
authors: G
authors: Delaini
authors: Dipartimento di Chirurgia, Chirurgia Generale A, Policlinico "G.B. Rossi", Università degli Studi di Verona, Italy.
authors: Alfredo
authors: A
authors: Guglielmi
mesh_terms: D001003:Anal Canal; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D004396:Coloring Agents; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008207:Lymphatic Metastasis; D059351:Organ Sparing Treatments; D019990:Perioperative Care; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D021701:Sentinel Lymph Node Biopsy
chemical_list: D004396:Coloring Agents
keywords: Colon cancer; ERAS; Laparoscopy; Minimally invasive treatment; Rectal cancer