Laparoscopic colectomy. Where do we stand?

Laparoscopy has changed our approach to surgery, instrumentation and training. The techniques are evolving for a wide range of surgical procedures outside the biliary tree. Currently available data suggests that laparoscopic colectomy can be completed safely in most cases. It is feasible and offers patient-related benefits similar to those described for other laparoscopic procedures. The advisability of performing laparoscopy for cure of colorectal malignancy has been challenged because the recurrence rates and overall cure rates remain unknown. Until prospective randomized trials resolve these issues neoplastic colon laparoscopic surgery must be the prerogative of selected and specialized centers.