ABSTRACT
Laparoscopic surgical techniques still have not been adopted as a standard treatment for rectal cancer. Since having been first described, important steps have been undertaken to demonstrate oncologic principles including high vascular ligation, total mesorectal excision, and the preservation of the pelvic autonomic nerves. Most evidence regarding outcomes is based on small-scale retrospective or nonrandomized prospective studies. Recent data regarding the port-site recurrence are lower than initially reported and data regarding the long-term oncologic outcome have not shown disadvantages. We believe the proven short-term benefits of laparoscopic colon surgery are also applicable to laparoscopic rectal cancer surgery. In addition, this technique has the potential to allow a better oncologic resection with a better short-term functional outcome. This article will focus on current published experience and will also briefly describe the authors' technique and personal experience with this procedure.
KEYWORD
Rectal neoplasms - surgical procedures - laparoscopy - total mesorectal excision
