An evidence-based medicine approach to the laparoscopic treatment of colorectal cancer.

ABSTRACT: During the 1990s, laparoscopic resection was established as a treatment for gastrointestinal malignant tumors.?A number of randomized controlled trials comparing laparoscopic-assisted colorectal surgery with conventional open colorectal surgery for colon cancer have been conducted.?These trials have shown short-term benefits, and the vast majority demonstrated no significant difference in long-term outcomes.?Laparoscopic-assisted colorectal surgery is widely performed for the treatment of colon cancer, whereas laparoscopic-assisted colorectal surgery for rectal cancer is less commonly performed.?In recent years, there have been an increasing number of reports of laparoscopic-assisted colorectal surgery for rectal cancer, where improving short-term outcomes was shown, but no definitive effect on long-term survival has been shown to date.?Randomized controlled trials focusing on long-term survival are currently ongoing.

SUBMITTER: Otani T 

PROVIDER: S-EPMC5283946 | biostudies-other | 2016 Dec

REPOSITORIES: biostudies-other