Re-appraisal and consideration of minimally invasive surgery in colorectal cancer

Mahmoud Abu Gazala, Steven D Wexner, Mahmoud Abu Gazala, Steven D Wexner

Abstract

Throughout history, surgeons have been on a quest to refine the surgical treatment options for their patients and to minimize operative trauma. During the last three decades, there have been tremendous advances in the field of minimally invasive colorectal surgery, with an explosion of different technologies and approaches offered to treat well-known diseases. Laparoscopic surgery has been shown to be equal or superior to open surgery. The boundaries of laparoscopy have been pushed further, in the form of single-incision laparoscopy, natural-orifice transluminal endoscopic surgery and robotics. This paper critically reviews the pathway of development of minimally invasive surgery, and appraises the different minimally invasive colorectal surgical approaches available to date.

Keywords: colon cancer; laparoscopy; minimally invasive surgery; natural-orifice specimen extraction; rectal cancer; robotic surgery; transanal total mesorectal excision.

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