Minimal access surgery for rectal cancer: An update Journal Article


Authors: Hui, V. W.; Guillem, J. G.
Article Title: Minimal access surgery for rectal cancer: An update
Abstract: Minimally invasive or minimal access surgery (MAS) for colon and rectal cancer was introduced in the early 1990s. Although laparoscopic colon surgery is now practiced worldwide, technical barriers, including a steep learning curve, preclude the widespread adoption of MAS techniques for rectal cancer. In addition, although randomized controlled trials have demonstrated that MAS techniques for colon cancer are oncologically equivalent to open surgery, similar confirmatory studies for rectal cancer have yet to be reported. In this Review, current evidence in support of laparoscopic and robotic total mesorectal excision for rectal cancer resection is presented. Other MAS approaches, such as transanal endoscopic microsurgery and natural orifice transluminal endoscopic surgery, are also discussed. © 2014 Macmillan Publishers Limited. All rights reserved.
Keywords: cancer surgery; excision; overall survival; review; outcome assessment; recurrence risk; laparoscopic surgery; surgical approach; microsurgery; length of stay; operation duration; patient safety; surgical mortality; minimally invasive surgery; clinical effectiveness; rectum cancer; urine retention; rectum surgery; anastomosis leakage; total mesorectal excision; feces incontinence; transanal endoscopic microsurgery; device safety; human; priority journal; laparoscopic surgical instrument; natural orifice transluminal endoscopic surgery
Journal Title: Nature Reviews Gastroenterology & Hepatology
Volume: 11
Issue: 3
ISSN: 1759-5045
Publisher: Nature Publishing Group  
Date Published: 2014-01-01
Start Page: 158
End Page: 165
Language: English
DOI: 10.1038/nrgastro.2013.203
PROVIDER: scopus
PUBMED: 24192606
DOI/URL:
Notes: Export Date: 1 August 2014 -- Source: Scopus
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  1. Jose Guillem
    414 Guillem
  2. Vanessa W Hui
    7 Hui