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Clin Colon Rectal Surg 2015; 28(03): 131-134
DOI: 10.1055/s-0035-1560040
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Adoption of Laparoscopic Colorectal Surgery: It Was Quite a Journey

Anthony J. Senagore
1   Department of Surgery, Case Western Reserve University, School of Medicine, Cleveland, Ohio
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Publikationsdatum:
05. Oktober 2015 (online)

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Abstract

The adoption of laparoscopic colorectal surgery has been a slow but steady progress. The first adopters rapidly expanded the application of the technology to all colorectal pathology. Issues related to extraction and port site recurrence of cancer delayed widespread adoption until incontrovertible data from well-powered prospective randomized studies confirmed equipoise with open surgery. Since that time, the data has consistently demonstrated patient-care benefits related to reductions in both short- and long-term complications historically associated with open colectomy. The potential for further improvement related to single-port access, robotic assistance, and natural orifice access for both the surgery and/or extraction will await the test of time. However, it is clear now that laparoscopic colorectal surgery is the new standard of care and a key enabler of enhanced recovery programs.

Keywords

laparoscopy - adoption - enhanced recovery
 

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