The Feasibility and Role of Laparoscopic Surgery in Rectal Cancer
| Autor: | Colin Elton, Christopher Charles Thorn, Pawan Mathur |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Hepatology Colorectal cancer Genitourinary system business.industry General surgery medicine.medical_treatment Gastroenterology Context (language use) medicine.disease Total mesorectal excision Colorectal surgery law.invention Surgery medicine.anatomical_structure Oncology Randomized controlled trial law medicine business Lymph node |
| Zdroj: | Current Colorectal Cancer Reports. 7:80-88 |
| ISSN: | 1556-3804 1556-3790 |
| Popis: | 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 meta-analyses. 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 minimum dataset 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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