Current status on laparoscopic surgery for colorectal cancer

Hirotoshi Hasegawa, Hideki Nishibori, Yoshiyuki Ishii, Masaki Kitajima

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Abstract

The current status of laparoscopic surgery and its indications for colorectal cancer are described. According to multi-institutional registry by the Japanese Society of Endoscopic Surgeons, the number of laparoscopic surgeries for advanced colorectal cancer has been increasing during the last couple years. The short- and long-term results of laparoscopic surgery for pT1 or pT2 colon cancer are favourable, and laparoscopic surgery could be a standard procedure for such cases. However, the indications for pT3/T4 cancer remain controversial due to limited length of follow-up. A multi-centre randomised controlled trial (RCT) comparing open with laparoscopic surgery for advanced (T3/T4) cancer is to start in autumn this year. Laparoscopic surgery for such cases should be confined to trial cases. Laparoscopic surgery for rectal cancer is feasible; however, it is associated with higher anastomotic leak rates. Issues on education and medical costs need to be resolved.

Original languageEnglish
Pages (from-to)685-689
Number of pages5
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume31
Issue number5
Publication statusPublished - 2004 May

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ASJC Scopus subject areas

  • Cancer Research
  • Pharmacology

Cite this

Hasegawa, H., Nishibori, H., Ishii, Y., & Kitajima, M. (2004). Current status on laparoscopic surgery for colorectal cancer. Gan to kagaku ryoho. Cancer & chemotherapy, 31(5), 685-689.