The Feasibility and Role of Laparoscopic Surgery in Rectal Cancer
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Christopher Charles Thorn & Pawan Mathur & Colin Elton
- چاپ و سال / کشور: 2010
Description
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 metaanalyses. 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 minimumdataset 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.
Curr Colorectal Cancer Rep (2011) 7:80–88 DOI 10.1007/s11888-010-0076-8 Published online: 24 December 2010
