Laparoscopic surgery for cure of colorectal cancer

One good reason for considering a change of access to radical surgery for colorectal cancer should be the proven superiority of the new approach to the treatment of benign diseases of the same viscera. For the time being this does not seem to be the case for laparoscopic colorectal surgery [8]. In fact, there is so far no convincing evidence showing that minimal invasive colorectal surgery is advantageous over its traditional counterpart with regard to the immediately recognizable outcome [22]. On the other hand, the immediately recognizable drawbacks of laparoscopic colorectal surgery (learning curve, prolonged operating time, high morbidity rates following conversion to open surgery, and the ‘‘new’’ complications) are well documented [24, 25]. In spite of this, an increasing number of surgeons are today attempting to perform laparoscopic surgery for cure of colorectal cancer outside randomized controlled trials. It is therefore appropriate to review the cancer issues that may make laparoscopic colorectal surgery for cure of malignancy an unsafe procedure.

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