Systematic review of laparoscopic surgery for colorectal malignancy

Yong, Li; Deane, Molly; Monson, J. R. T.; Darzi, Ara

doi:10.1007/s004640090131

Cited by 35 publications

(26 citation statements)

References 64 publications

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“…The anastomotic leak rates in the larger series are around 10%, and our experience is consistent with this figure [78,79,80]. The high incidence of thrombo-embolic complications reported in one early series [49] has not been reported in more recent series.…”

Section: Complicationssupporting

confidence: 78%

Laparoscopy for Colorectal Malignancy

Pillinger

Monson

2005

Dig Surg

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Laparoscopy for colorectal pathology is technically demanding with a steep learning curve. In expert hands, there is no doubt that there is a place for laparoscopy in the operative armamentarium for the treatment of benign disease. The question of its application in the treatment of carcinoma is more difficult to address. The evidence available suggests that laparoscopic resection is a feasible and appropriate option for the treatment of colorectal carcinoma. The skill and technology to perform the procedure are developing apace, and level 1 evidence to support it is tantalizingly close. This paper will outline the development of the technique, the operative approach, and the available evidence for its use in the treatment of carcinoma.

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Section: Complicationssupporting

confidence: 78%

Laparoscopy for Colorectal Malignancy

Pillinger

Monson

2005

Dig Surg

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“…However, most series of laparoscopic procedures for colorectal cancer do not evaluate in detail the oncological quality of the operation and do not contain a macroscopic definition of the quality of mesorectal excision 20,22 . In the present study, a macroscopic and microscopic assessment of the quality of mesorectal excision was performed.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic intersphincteric resection with coloplasty and coloanal anastomosis for mid and low rectal cancer

Rullier

Cunha

Couderc

et al. 2003

British Journal of Surgery

173

113

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“…These include worse morbidity and mortality [71,72] , worse outcome [34] , increased operative time, prolonged hospital stay [72] , poorer survival [28,36,73] , increased need for transfusion [34] , and increased costs [40] . While it is certainly possible that these poor outcomes were the consequence of conversion, it might also be that the reasons for conversion could possibly have a part in determining these adverse outcomes, for instance, a large tumor, adhering to the abdominal wall, considered as a poor prognostic factor, could be the cause for conversion.…”

Section: Conversionmentioning

confidence: 99%

Laparoscopic Approach to Colonic Cancer: Critical Appraisal of the Literature

Fingerhut

Ata²,

Chouillard³

et al. 2007

Dig Dis

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Background/Aims: As laparoscopic colectomy finds its place in the surgical armamentarium, the literature concerning the safety, efficacy, and oncological rational for treatment of colonic cancer is also enriched. A review and critical appraisal of the literature on this subject was the aim of this paper. Methods: A systematic research and a hand search were conducted to gain access to all controlled studies involving laparoscopic colectomy using the Medline, Embase, HealthSTAR, Cumulative Index for Nursing and Allied Health Literature, CancerLit data bases and the Cochrane Central Register of Controlled Trials for the years 1991–2006. Results: Over 40 controlled randomized trials and ten systematic reviews and/or meta-analyses were found. Several of the completed controlled randomized trials have published either short- or long-term results; only partial and short-term results are available in rectal cancer. The principal conclusions are that the laparoscopic approach affords better short-term outcomes including surgical site morbidity, but with increased operative times and direct costs. Among the proven long-term outcomes, cancer recurrence and survival do not seem to be worse. Whether conversion, a source of increased operative time and costs, is responsible for poorer outcomes or whether specific settings associated with poorer outcomes are among the causes of conversion remains to be shown. However, there are still concerns as regards specific laparoscopic-related complications. Conclusion: There seems to no real safety problems in performing laparoscopic colectomy for cancer; improvement in operative times, conversion rates, and complications should make laparoscopy the best cost-effective approach to colectomy.

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Systematic review of laparoscopic surgery for colorectal malignancy

Cited by 35 publications

References 64 publications

Laparoscopy for Colorectal Malignancy

Laparoscopy for Colorectal Malignancy

Laparoscopic intersphincteric resection with coloplasty and coloanal anastomosis for mid and low rectal cancer

Laparoscopic Approach to Colonic Cancer: Critical Appraisal of the Literature

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