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Laparoscopic surgery for colorectal neoplasms
W L Ambroze1, G R Orangio, D Armstrong
1Georgia Baptist Medical Center, Atlanta.
Seminars in Surgical Oncology
|November 1, 1994
Summary
Laparoscopic bowel surgery is increasingly common for cancer. Key considerations include ensuring adequate margins and mesenteric dissection for neoplastic disease. This review examines results and controversies.
Area of Science:
- Colorectal surgery
- Minimally invasive surgery
- Surgical oncology
Background:
- Laparoscopy is expanding to various bowel procedures.
- Neoplastic disease necessitates careful margin assessment and mesenteric dissection during laparoscopic surgery.
Purpose of the Study:
- To review the outcomes of laparoscopic-assisted bowel procedures for neoplastic disease.
- To discuss controversies surrounding the use of laparoscopy in oncologic bowel surgery.
Main Methods:
- Review of 110 laparoscopic-assisted bowel procedures, with 45 for neoplastic disease.
- Analysis of 92 bowel resections, including 24 extensive resections (subtotal, total, or proctocolectomies).
- Inclusion of data from other reported series.
Main Results:
- The study details the authors' experience with laparoscopic bowel surgery for cancer.
- Comparative analysis with existing literature on oncologic laparoscopic bowel resections.
Conclusions:
- Laparoscopic approaches for neoplastic bowel disease require meticulous attention to surgical margins and dissection.
- Further discussion and evidence are needed to address controversies in oncologic laparoscopic bowel surgery.