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Clin Colon Rectal Surg 2002; 15(1): 081-086
DOI: 10.1055/s-2002-23571
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Current Applications of Laparoscopic Surgery in the Treatment of Rectal Cancer

Moris Venturero, Jeffrey W. Milsom
  • Section of Colon and Rectal Surgery, The New York Presbyterian Hospital and Weill Medical College of Cornell University, New York, New York
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Publication History

Publication Date:
03 April 2002 (online)

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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

REFERENCES

  • 1 Leung K L, Yiu R Y, Lai P B, Lee J F, Thung K H, Lau W Y. Laparoscopic-assisted resection of colorectal carcinoma: five-year audit.  Dis Colon Rectum . 1999;  42 327-332
    PubMedSearch in Google Scholar
  • 2 Milsom J W, Bohm B, Hammerhofer K. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report.  J Am Coll Surg . 1998;  187 46-54
    CrossrefPubMedSearch in Google Scholar
  • 3 Bruch H P, Schiedeck T H, Schwandner O. Laparoscopic colorectal surgery: a five-year experience.  Dig Surg . 1999;  16 45-54
    CrossrefPubMedSearch in Google Scholar
  • 4 Leung K L, Kwok S P, Lau W Y. Laparoscopic-assisted abdominoperineal resection for low rectal adenocarcinoma.  Surg Endosc . 2000;  14 67-70
    CrossrefPubMedSearch in Google Scholar
  • 5 Fleshman J W, Wexner S D, Anvari M. Laparoscopic versus open abdominoperineal resection for cancer.  Dis Colon Rectum . 1999;  42 930-939
    PubMedSearch in Google Scholar
  • 6 Leung K L, Kwok S P, Lau W Y. Laparoscopic-assisted resection of rectosigmoid carcinoma. Immediate and medium-term results.  Arch Surg . 1997;  132 761-764
    PubMedSearch in Google Scholar
  • 7 Tate J J, Kwok S, Dawson J W. Prospective comparison of laparoscopic and conventional anterior resection.  Br J Surg . 1993;  80 1396-1398
    PubMedSearch in Google Scholar
  • 8 Kockerling F, Gastinger I, Schneider B. Laparoscopic abdominoperineal excision of the rectum with high ligation of the inferior mesenteric artery in the management of rectal carcinoma.  Endosc Surg Allied Technol . 1993;  1 16-19
    PubMedSearch in Google Scholar
  • 9 Kockerling F, Gastinger I, Schneider B. Laparoscopic abdomino-perineal resection of the rectum with high intersection of the inferior mesenteric artery.  Chirurg . 1992;  63 345-348
    PubMedSearch in Google Scholar
  • 10 Franklin Jr E M, Rosenthal D, Norem R F. Prospective evaluation of laparoscopic colon resection versus open colon resection for adenocarcinoma. A multicenter study.  Surg Endosc . 1995;  9 811-816
    PubMedSearch in Google Scholar
  • 11 Lacy A M, Garcia-Valdecasas J C, Pique J M. Short-term outcome analysis of a randomized study comparing laparoscopic vs open colectomy for colon cancer.  Surg Endosc . 1995;  9 1101-1105
    PubMedSearch in Google Scholar
  • 12 MacFarlane J K, Ryall R D, Heald R J. Mesorectal excision for rectal cancer.  Lancet . 1993;  341 457-460
    CrossrefPubMedSearch in Google Scholar
  • 13 Milsom J W, Bohm B, Decanini C, Fazio V W. Laparoscopic oncologic proctosigmoidectomy with low colorectal anastomosis in a cadaver model.  Surg Endosc . 1994;  8 1117-1123
    CrossrefPubMedSearch in Google Scholar
  • 14 Franklin Jr E M, Rosenthal D, Abrego-Medina D. Prospective comparison of open versus laparoscopic colon surgery for carcinoma. Five-year results.  Dis Colon Rectum . 1996;  39 S35-S46
    PubMedSearch in Google Scholar
  • 15 Hartley J E, Mehigan B J, Qureshi A E. Total mesorectal excision: assessment of the laparoscopic approach.  Dis Colon Rectum . 2001;  44 315-321
    CrossrefPubMedSearch in Google Scholar
  • 16 Decanini C, Milsom J W, Bohm B, Fazio V W. Laparoscopic oncologic abdominoperineal resection.  Dis Colon Rectum . 1994;  37 552-558
    PubMedSearch in Google Scholar
  • 17 Bohm B, Milsom J W, Kitago K. Use of laparoscopic techniques in oncologic right colectomy in a canine model.  Ann Surg Oncol . 1995;  2 6-13
    PubMedSearch in Google Scholar
  • 18 Weiser M R, Milsom J W. Laparoscopic total mesorectal excision with autonomic nerve preservation.  Semin Surg Oncol . 2000;  19 396-403
    CrossrefPubMedSearch in Google Scholar
  • 19 Milsom J W, Jerby B L, Kessler H. Prospective, blinded comparison of laparoscopic ultrasonography versus contrast-enhanced computerized tomography for liver assessment in patients undergoing colorectal carcinoma surgery.  Dis Colon Rectum . 2000;  43 44-49
    PubMedSearch in Google Scholar
  • 20 Leung K L, Lai P B, Ho R L. Systemic cytokine response after laparoscopic-assisted resection of rectosigmoid carcinoma: a prospective randomized trial.  Ann Surg . 2000;  231 506-511
    CrossrefPubMedSearch in Google Scholar
  • 21 Fleshman J W, Nelson H, Peters W R. Early results of laparoscopic surgery for colorectal cancer. Retrospective analysis of 372 patients treated by Clinical Outcomes of Surgical Therapy (COST) Study Group.  Dis Colon Rectum . 1996;  39 S53-S58
    CrossrefPubMedSearch in Google Scholar
  • 22 Ramos J R, Petrosemolo R H, Valory E A. Abdominoperineal resection: laparoscopic versus conventional.  Surg Laparosc Endosc . 1997;  7 148-152
    CrossrefPubMedSearch in Google Scholar
  • 23 Wu J S, Birnbaum E H, Fleshman J W. Early experience with laparoscopic abdominoperineal resection.  Surg Endosc . 1997;  11 449-455
    CrossrefPubMedSearch in Google Scholar
  • 24 Schiedeck T H, Schwandner O, Baca I. Laparoscopic surgery for the cure of colorectal cancer: results of a German five-center study.  Dis Colon Rectum . 2000;  43 1-8
    CrossrefPubMedSearch in Google Scholar