Current status of laparoscopy for the treatment of rectal cancer.
Surgery for rectal cancer in complex and entails many challenges. While the laparoscopic approach in general and specific to colon cancer has been long proven to have short term benefits and to be oncologically safe, it is still a debatable topic for rectal cancer. The attempt to benefit rectal cancer patients with the known advantages of the laparoscopic approach while not compromising their oncologic outcome has led to the conduction of many studies during the past decade. Herein we describe our technique for laparoscopic proctectomy and assess the current literature dealing with short term outcomes, immediate oncologic measures (such as lymph node yield and specimen quality) and long term oncologic outcomes of laparoscopic rectal cancer surgery. We also briefly evaluate the evolving issues of robotic assisted rectal cancer surgery and the current innovations and trends in the minimally invasive approach to rectal cancer surgery.
Noam Shussman, Steven D Wexner, Department of Colorectal Surgery, Cleveland Clinic Florida, FL 33331, United States.
Noam
N
Shussman
Noam Shussman, Steven D Wexner, Department of Colorectal Surgery, Cleveland Clinic Florida, FL 33331, United States.
Steven D
SD
Wexner
D004059:Diffusion of Innovation; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods / Q000401:mortality / Q000639:trends*; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D012307:Risk Factors; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods / Q000401:mortality / Q000639:trends*; D013997:Time Factors; D016896:Treatment Outcome
Laparoscopy; Minimally invasive surgery; Oncological outcomes; Rectal cancer; Short term benefits