Minimal access surgery short-term benefits of laparoscopy for colorectal cancer, such as faster bowel function recovery, less postoperative pain and shorter hospitalization based on data organized according to levels of evidence.
To understand the long-term benefits of laparoscopy for colon cancer with regard to recurrence and survival based on data organized according to levels of evidence. To review the literature of laparoscopic surgery for colorectal cancers and its current status in purely laparoscopic, laparoscopic assisted, hand-assisted laparoscopic surgery (HALS).
Materials and methods
A literature search was performed using search engine Google, HighWire Press and Online Springer Library facility available at World Laparoscopy Hospital. The following search terms were used: Laparoscopic surgery for colorectal cancer current status. Selected papers were screened for further references, operative procedure were selected, only if they are universally accepted procedures, and the institution where the study was done is specialized institution for laparoscopic surgery.
In selected patients, a laparoscopic resection for colorectal cancer produces acceptable intermediate to long-term oncologic outcomes and a low long-term complication rate.
Subcutaneous metastases after laparoscopic colectomy. Lancet 1994;344:58.
Approved statement on laparoscopic colectomy. Dis Colon Rectum 1994;37(12):A14.
Laparoscopic-assisted resection of colorectal malignancies. Ann Surg 2001;4:590-606.
A comparison of laparoscopically assisted and open colectomy for colon cancer. NEJM 2004;350(20):2050-59.
What is evidence-based surgery? Seminars Colon Rectal Surg 2002;13:3-9.
Laparoscopic total mesorectal excision: A consecutive series of 100 patients. Ann Surg 2003;3:335-42.
Laparoscopic surgery for colorectal cancer. Semin Oncol 1999;16:332-36.
Laparoscopic surgery for the cure of colorectal cancer. Dis Colon Rectum 2000;43:1-8.
A preliminary comparison of a consecutive series of open versus laparoscopic abdominoperineal resection for rectal adenocarcinoma. Int J Colorect Dis 1997;12:88-90.
A case-control study comparing laparoscopic versus open surgery for rectosigmoidal and rectal cancer. Int J Colorectal Dis 1999;14:158-63.
Abdominoperineal resection: Laparoscopic versus conventional. Surg Lap End 1997;7:148-52.
Early postoperative results of a prospective series of laparoscopic vs open anterior resection for rectosigmoid cancers. Dis Colon Rectum 1997;40:776-80.
Total mesorectal excision: Assessment of the laparoscopic approach. Dis Colon Rectum 2001;44:215-321.
Laparoscopic versus open surgery for colorectal carcinoma: A prospective trial involving 157 cases with a mean follow-up of 5 years. Surg Laparosc Endosc Percutan Tech 2002;12:88-95.
A prospective randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: A preliminary report. J Am Coll Surg 1998;187:46-57.
Laparoscopicallyassisted colon resection for colon carcinoma. Surg Endosc 2000;14:1062-66.
Laparoscopyassisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: A randomized trial. Lancet 2002;359:2224-29.
Randomized controlled trial of laparoscopic versus open colectomy for advanced colorectal cancer. Surg Endosc 2003;17(4):636-40.
Short-term quality of life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: A randomized trial. JAMA 2002;287:321-28.
Prospective randomized study of laparoscopic versus open colonic resection for adenocarcinoma. Br J Surg 1997;84:391-96.
Postoperative pain and fatigue after laparoscopic or conventional colorectal resections: A prospective randomized trial. Surg Endosc 1998;12:1131-36.
Results of laparoscopically-assisted colon resection for carcinoma: The first 100 patients. Surg Endosc 2002;16:607-10.
Laparoscopic total mesorectal excision of low rectal cancer with preservation of anal sphincter: Report of 82 cases. World J Gastroenterol 2003;9:1477-81.
Prospective evaluation of laparoscopic surgery for rectosigmoidal and rectal carcinoma. Dis Colon Rectum 2002;45:1248-1654.
Prospective evaluation of laparoscopic total mesorectal excision with colonic J-pouch reconstruction for mid and low rectal cancers. Br J Surg 2003;90:867-71.
Colorectal cancer: Comparison of laparoscopic with open approaches. Dis Colon Rectum 1998;41:832-38.
Outcome following laparoscopic resection for colorectal cancer. Br J Surg 1998;5:662-64.
Laparoscopic vs open abdominoperineal resection for cancer. Dis Colon Rectum 1999;42:930-39.
Laparoscopic resection for colorectal carcinoma: A three-year experience. Dis Colon Rectum 1996;39:148-54.
Does laparoscopic abdominoperineal resection of the rectum compromise long-term survival? Dis Colon Rectum 2002;45:1481-85.
Outcome of laparoscopic surgery for rectal cancer in 101 patients. Dis Colon Rectum 2003;46:1047-53.
Laparoscopic-assisted abdominoperineal resection for low rectal carcinoma. Surg Endosc 2000;14:67-70.
Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer. BJS 2004;91(4):409-17.
Laparoscopic colorectal resection: A multicenter Italian study. Surg Endosc 1996;10:875-79.
Laparoscopic colorectal surgery for cancer. Intermediate to long-term outcomes. Dis Colon Rectum 2002;45:867-74.
Laparoscopic abdominoperineal resection and anterior resection with curative intent for carcinoma of the rectum. Surg Endosc 2002;16:7-13.
Prospective comparison of open laparoscopic colon surgery for carcinoma. 5-year result. Dis Colon Rectum 1996;39:S35-46.
Colorectal carcinoma: Laparoscopic versus traditional open surgery: A clinical trial. Hepatogastroenterol 1999:46:900-04.
Laparoscopic colonic resection versus open surgery: A prospective non-randomized study on 310 unselected cases. Hepatogastroenterol 2000;47:697-708.
Results of laparoscopic vs open resections for colon cancer in patients with a minimum follow-up of 3 years. Surg Endosc 2002;16:1158-61.
Early results of laparoscopic surgery for colorectal cancer: Retrospective analysis of 372 patients treated by clinical outcomes of surgical therapy (COST) study group. Dis Colon Rectum 1996;39:S53-58.
Local recurrence and survival after laparoscopic mesorectal resection for rectal adenocarcinoma. Surg Endosc 2002:16:989-95.
5-year results of 206 laparoscopic left colectomies for cancer. Surg Endosc 2002;16:1409-12.
Long-term survival after laparoscopic colon resection for cancer: Complete 5-year follow-up. Dis Colon Rectum 2002;45:491-501.
Laparoscopicassisted resection of rectosigmoid carcinoma: Immediate and medium-term results. Arch Surg 1997;132(7):761-64.
Prospective comparison of laparoscopic vs open resections for colorectal adenocarcinoma over a 10-year period. Dis Colon Rectum 2003;46:601-11.
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Personal communication and presentation at the annual meeting of the Society for Gastrointestinal Endoscopic Surgeons, Denver, Colorado March 30, April 3, 2004.
Approval statement: Laparoscopic colectomy for curable cancer. DCR 2004;47(10):A1.
Meta-analysis of shortterm outcomes after laparoscopic resection for colorectal cancer. BJS 2004;91:1111-24.