Laparoscopic resection of curable colon and rectal cancer: an evidence-based review |
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| Authors: | T. M. Young-Fadok MD MS FACS FASCRS Chair R. D. Fanelli MD FACS R. R. Price MD FACS D. B. Earle MD FACS |
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| Affiliation: | (1) Division of Colon and Rectal Surgery, Mayo Clinic, Scottsdale, Arizona, United States;(2) Surgical Endoscopy, Berkshire Medical Center, Pittsfield, MA, USA;(3) Department of Surgery, University of Massachusetts Medical School, Pittsfield, MA, USA;(4) Surgical Education, LDS Hospital, Saltlake city, Utah, USA;(5) Intermountain Healthcare, University of Utah, Saltlake city, Utah, USA |
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| Abstract: | The initial enthusiastic application of laparoscopic techniques to colorectal surgical procedures was tempered in the early 1990s by reports of tumor implants in the laparoscopic incisions. Substantial evidence has accumulated, including evidence from randomized controlled trials, to support that laparoscopic resection results in oncologic outcomes similar to open resection, when performed by well-trained, experienced surgeons. This review was developed in conjunction with guidelines published by the Society of American Gastrointestinal and Endoscopic Surgeons. Data from the surgical literature concerning laparoscopic resection of curable colorectal cancer was evaluated regarding diagnostic evaluation, preoperative preparation, operative techniques, prevention of tumor implants, and training and experience. Recommendations are accompanied by an assessment of the level of supporting evidence available at the time of the development of the guidelines. |
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| Keywords: | Colon cancer Rectal cancer Laparoscopy Laparoscopic colectomy |
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