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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
PubMed
Summary
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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.

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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.