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CA: A Cancer Journal for Clinicians, Vol 49, Issue 4 221-228, Copyright © 1999 by American Cancer Society
F. L. Greene
Laparoscopic treatment of colorectal cancer has emerged as a result of the
technical advances that have been made since the introduction of
laparoscopic cholecystectomy. The minimal-access approach to treatment of
benign disease results in smaller incisions, reduced length of hospital
stay, and a faster return to productive life. Laparoscopic approaches to
colon cancer must take into consideration the potential effects of the
technique on tumor dissemination at the time of the surgical procedure, as
well as rates of recurrence and overall survival. Several technical
approaches to laparascopic colon resection have now become possible,
utilizing either total intra-abdominal maneuvers or laparoscopic-assisted
techniques. Margins of resection and lymph node removal with the
minimal-access techniques compare favorably with those of open colectomy.
Several series now show that early results utilizing laparoscopic resection
for colorectal cancer are favorable but that routine implementation of this
procedure should await confirmatory outcomes generated by well-done
prospective clinical trials.
ARTICLES
Laparoscopic management of colorectal cancer
Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
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