Current trends in laparoscopic surgery for colorectal carcinoma

Česká verzia

Authors: L. Martínek ; J. Dostalík
Authors place of work: Přednosta: doc. MUDr. Jan Dostalík, CSc. ; Chirurgická klinika FN Ostrava
Published in the journal: Prakt. Lék. 2008; 88(7): 377-380
Category: Reviews

Summary

Laparoscopic surgery for colorectal cancer is not currently widely accepted. The main reasons for this are its technical difficulty, oncological concerns and costs. Initial enthusiasm in the early 90’s was replaced by careful scepticism and it is only recently that random multi-centre trials, initiated to compare laparoscopic and open technique, have supported the renaissance of laparoscopic colorectal surgery. Current results of several large randomized trials and meta-analysis enhance the acceptance of the laparoscopic technique for colorectal cancer on the basis of Evidence Based Medicine. Laparoscopic colorectal surgery for carcinoma is associated with faster recovery, lower morbidity and shorter hospital stay then open approach. The oncological outcome is as good as that reported for conventional open surgery.

Key words:
laparoscopic surgery, colorectal cancer, morbidity, mortality, survival.

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