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Updated: Mar 28, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Core value of laparoscopic colorectal surgery
1Xin-Xiang Li, Ren-Jie Wang, Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, China.
Laparoscopic surgery, initially for gallbladders, now excels in treating complex conditions like colorectal cancer. Evidence confirms its safety and efficacy, establishing it as a leading surgical standard.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopy, first used for cholecystectomy in 1987, offers benefits like smaller incisions and faster recovery.
- Initial concerns regarding oncologic outcomes and safety in malignant tumor treatment have been resolved by evidence-based medicine.
Purpose of the Study:
- To evaluate the established role and future potential of laparoscopic surgery in various surgical fields.
- To address the evolution of minimally invasive techniques and their impact on oncologic surgery.
Main Methods:
- Review of evidence-based medicine supporting laparoscopic techniques in oncologic surgery.
- Analysis of the development and application of laparoscopic colorectal surgery.
Main Results:
- Laparoscopic surgery has overcome early controversies regarding oncologic efficacy and safety.
- Newer minimally invasive technologies present challenges, currently limiting their use to benign or early malignant tumors.
- The core value of laparoscopy lies in high-quality radical resection with fewer complications.
Conclusions:
- Laparoscopic surgery is a safe and effective treatment for malignant tumors, with concerns fully addressed by evidence.
- While new technologies emerge, the established laparoscopic technique remains crucial for oncologic outcomes.
- Laparoscopic colorectal surgery is rapidly advancing and poised to become the gold standard.
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