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Related Experiment Video

Updated: May 18, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Minimally invasive colorectal surgery.

J H Marks¹, G J Nassif Do, J L Frenkel

¹Department of Colon and Rectal Surgery, Lankenau Medical Center, Wynnewood, PA 19096, USA. marksj@mlhs.org

Minerva Gastroenterologica E Dietologica

|September 14, 2012

Summary

This summary is machine-generated.

Laparoscopic colorectal surgery offers better short-term outcomes and quality of life compared to open surgery. This minimally invasive approach is recommended as the primary method for colorectal procedures, including cancer treatment.

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Published on: February 12, 2022

Area of Science:

Colorectal Surgery
Minimally Invasive Surgery
Surgical Oncology

Background:

Laparoscopic colorectal surgery adoption remains low (5-15%) despite proven benefits.
The COST trial confirmed comparable oncologic outcomes to open surgery for colon cancer.
Laparoscopic surgery leads to shorter hospital stays and improved patient quality of life.

Purpose of the Study:

To advocate for laparoscopic colorectal surgery as the primary approach.
To describe standardized, sequenced techniques for laparoscopic colectomies.
To highlight advancements like single-incision surgery.

Main Methods:

Review of the COST trial findings.
Analysis of clinical experience with over 1500 laparoscopic surgeries.
Detailed description of standardized step-by-step procedures for left and right colectomies.

Main Results:

Laparoscopic surgery shows similar cancer recurrence and survival rates to open surgery.
Patients experience shorter hospital stays, reduced pain medication needs, and improved quality of life.
Reduced rates of wound infection, hernia, and bowel obstruction observed in clinical practice.

Conclusions:

Laparoscopic colorectal surgery is safe and effective for benign and malignant conditions.
Standardized techniques are crucial for optimizing outcomes and minimizing complications.
The laparoscopic approach should be the primary method for colorectal surgery, with single-incision surgery as a future direction.