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Related Experiment Videos

Current attitudes in laparoscopic colorectal surgery.

C Mavrantonis1, S D Wexner, J J Nogueras

  • 1Department of Colorectal Surgery, Cleveland Clinic Florida, 3000 West Cypress Creek Road, Fort Lauderdale, FL 33309, USA.

Surgical Endoscopy
|May 17, 2002
PubMed
Summary
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Surgeons are performing fewer laparoscopic colorectal surgeries (LCS), especially for cancer. While LCS is common for benign conditions, hesitancy for cancer treatment and low response rates limit current findings.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Assessing current surgeon attitudes towards laparoscopic colorectal surgery (LCS).
  • Understanding trends in LCS adoption and application among North American colorectal surgeons.

Purpose of the Study:

  • To evaluate the current adoption rates and indications for LCS.
  • To identify surgeon preferences for LCS in treating various colorectal conditions, including cancer.
  • To gauge surgeon willingness to undergo LCS themselves.

Main Methods:

  • A survey was distributed to members of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the American Society of Colon and Rectal Surgeons (ASCRS).
  • A total of 3628 questionnaires were sent, with a 40% response rate (approximately 1500 respondents).

Related Experiment Videos

  • Data collected included current LCS practice, indications, and personal willingness to undergo LCS.

    • Main Results:

    • 85% of respondents perform laparoscopic surgery; 48% utilize LCS for 21% of patients.
    • LCS is frequently used for diverticular disease (74%), polyps (68%), and villous adenoma (61%), but less so for cancer (15%).
    • Surgeons show a higher willingness to undergo LCS for benign conditions (56% for rectal villous adenoma) than for distal rectal cancer (9%).

    Conclusions:

    • The overall performance of LCS has declined in the last three years.
    • Surgeons exhibit increased reluctance to perform LCS for colorectal cancer treatment.
    • The low response rate and reported port site recurrences (4.4%) prevent definitive conclusions on recurrence prevalence.