The Feasibility and Role of Laparoscopic Surgery in Rectal Cancer |
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Authors: | Christopher Charles Thorn Pawan Mathur Colin Elton |
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Affiliation: | 1. Barnet General Hospital, Wellhouse Lane, Barnet, Hertfordshire, EN5 3DJ, UK
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Abstract: | The use of the laparoscopic approach for the treatment of rectal tumors remains controversial. This review summarizes all the published level 1 and some level 2 evidence, much of which is not included in recent meta-analyses. The current evidence base demonstrates short-term benefits in the laparoscopic group without compromising 3–5 year survival or recurrence. Quality-of-life indices demonstrate benefits until 1 year but not beyond. Further randomized clinical trials are required to investigate the impact on lymph node yield and genitourinary function, and a minimum dataset might be helpful for the design of future studies. We conclude that the laparoscopic approach is both feasible and desirable in the context of a well-trained surgeon and has a clear role in the management rectal cancer in all but emergent and T4 cases. |
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