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Laparoscopic surgery for colon cancer

Colon cancer is a major problem in Western countries and complete surgical resection is the main treatment. Since its introduction the laparoscopic approach has been used to achieve bowel resection with a better postoperative course and better aesthetic outcomes. Initial concerns about the radicalit...

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Autores principales: Millo, Paolo, Rispoli, Corrado, Rocco, Nicola, Contul, Riccardo Brachet, Fabozzi, Massimiliano, Grivon, Manuela, Nardi, Mario Junior, Allieta, Rosaldo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hellenic Society of Gastroenterology 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959454/
https://www.ncbi.nlm.nih.gov/pubmed/24714231
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author Millo, Paolo
Rispoli, Corrado
Rocco, Nicola
Contul, Riccardo Brachet
Fabozzi, Massimiliano
Grivon, Manuela
Nardi, Mario Junior
Allieta, Rosaldo
author_facet Millo, Paolo
Rispoli, Corrado
Rocco, Nicola
Contul, Riccardo Brachet
Fabozzi, Massimiliano
Grivon, Manuela
Nardi, Mario Junior
Allieta, Rosaldo
author_sort Millo, Paolo
collection PubMed
description Colon cancer is a major problem in Western countries and complete surgical resection is the main treatment. Since its introduction the laparoscopic approach has been used to achieve bowel resection with a better postoperative course and better aesthetic outcomes. Initial concerns about the radicality of the resection and the oncologic outcomes have been overcome in the last decade. All over the world large trials have been conducted to compare the laparoscopic approach and the traditional laparotomic one. A review of literature has been conducted to find evidence about this issue, revealing 24 relevant trials. The laparoscopic approach showed short-term benefits without compromising oncological safety. However intraoperative complication rates during laparoscopic colon resections seem to be increased, mainly due to the increased rate of intraoperative bowel injury. This finding confirms a great need for training and a wide learning curve for the surgeon. Our review supports the continued use of laparoscopic surgery in patients with colon cancer.
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spelling pubmed-39594542014-04-07 Laparoscopic surgery for colon cancer Millo, Paolo Rispoli, Corrado Rocco, Nicola Contul, Riccardo Brachet Fabozzi, Massimiliano Grivon, Manuela Nardi, Mario Junior Allieta, Rosaldo Ann Gastroenterol Invited Review Colon cancer is a major problem in Western countries and complete surgical resection is the main treatment. Since its introduction the laparoscopic approach has been used to achieve bowel resection with a better postoperative course and better aesthetic outcomes. Initial concerns about the radicality of the resection and the oncologic outcomes have been overcome in the last decade. All over the world large trials have been conducted to compare the laparoscopic approach and the traditional laparotomic one. A review of literature has been conducted to find evidence about this issue, revealing 24 relevant trials. The laparoscopic approach showed short-term benefits without compromising oncological safety. However intraoperative complication rates during laparoscopic colon resections seem to be increased, mainly due to the increased rate of intraoperative bowel injury. This finding confirms a great need for training and a wide learning curve for the surgeon. Our review supports the continued use of laparoscopic surgery in patients with colon cancer. Hellenic Society of Gastroenterology 2013 /pmc/articles/PMC3959454/ /pubmed/24714231 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Invited Review
Millo, Paolo
Rispoli, Corrado
Rocco, Nicola
Contul, Riccardo Brachet
Fabozzi, Massimiliano
Grivon, Manuela
Nardi, Mario Junior
Allieta, Rosaldo
Laparoscopic surgery for colon cancer
title Laparoscopic surgery for colon cancer
title_full Laparoscopic surgery for colon cancer
title_fullStr Laparoscopic surgery for colon cancer
title_full_unstemmed Laparoscopic surgery for colon cancer
title_short Laparoscopic surgery for colon cancer
title_sort laparoscopic surgery for colon cancer
topic Invited Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959454/
https://www.ncbi.nlm.nih.gov/pubmed/24714231
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