Current trends in laparoscopic surgery for colorectal carcinoma

Authors: L. Martínek ;  J. Dostalík
Authors‘ workplace: Chirurgická klinika FN Ostrava ;  Přednosta: doc. MUDr. Jan Dostalík, CSc.
Published in: Prakt. Lék. 2008; 88(7): 377-380
Category: Reviews


Laparoscopic surgery for colorectal cancer is not currently widely accepted. The main reasons for this are its technical difficulty, oncological concerns and costs. Initial enthusiasm in the early 90’s was replaced by careful scepticism and it is only recently that random multi-centre trials, initiated to compare laparoscopic and open technique, have supported the renaissance of laparoscopic colorectal surgery. Current results of several large randomized trials and meta-analysis enhance the acceptance of the laparoscopic technique for colorectal cancer on the basis of Evidence Based Medicine. Laparoscopic colorectal surgery for carcinoma is associated with faster recovery, lower morbidity and shorter hospital stay then open approach. The oncological outcome is as good as that reported for conventional open surgery.

Key words:
laparoscopic surgery, colorectal cancer, morbidity, mortality, survival.


1. Jacobs, M., Verdeja, J.C., Goldstein, H.S. Minimally invasive colon resection (laparoscopic colectomy). Surg. Laparosc. Endosc. 1991, 1, p. 138-143.

2. Alexander, R.J.T., Jacques, B.C., Mitchell, K.G. Laparoscopically assisted colectomy and wound recurrence. Lancet 1993, 341, p. 249-250.

3. O’Rourke, N., Price, P.M., Kelly, S., Sikora, K. Tumor inoculation during laparoscopy. Lancet 1993, 342, p. 342-368.

4. Wexner, S.D., Cohen, S.M. Port site metastases after laparoscopic colorectal surgery for cure of malignancy. Br. J. Surg. 1995, 82, p. 295-298.

5. Hughes, E.S. Tumor recurrence in the abdominal wall scar tissue after large-bowel cancer surgery. Dis. Colon Rectum 1983, 26, p. 571-572.

6. Reilly, W.T., Nelson, H., Schroeder, G. et al. Wound recurrence following conventional treatment of colorectal cancer. Dis. Colon Rectum 1996, 39, p. 200-207.

7. Veldkamp, R., Gholghesaei, M., Bonjer, H.J. et al. Laparoscopic resection of colon cancer: Consensus of the European Association of Endoscopic Suregry. Surg. Endosc. 2004, 18, p. 1163-1185.

8. Lacy, A.M., Garcia-Valdecasas, J.C., Delgado, S. et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomised trial. Lancet 2002, 359, p. 2224-2229.

9. Nelson, H. A comparasion of laparoscopically assisted and open colectomy for colon cancer. The clinical outcomes of surgical therapy study group. N. Engl. J. Med. 2004, 350, p. 2050-2059.

10. Abraham, N.S., Young, J.M., Solomon, M.J. Meta-analysis of short-term outcomes after after laparoscopic resection for colorectal cancer. Br. J. Surg. 2004, 91, p. 1111-1124.

11. Schwenk, W., Haase, O., Neudecker, J., Müller, J.M. Short term benefits for laparoscopic colorectal resection. Cochrane database of systematic reviews 2005, Issue 2., art. No.CD003145.

12. Fleshman, J., Sargent, D.J., Green, E. et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST study group trial. Ann. Surg. 2007, 246, p. 655-662.

13. Jackson, T.D., Kaplan, G.G., Arena, G. et al. Laparoscopic versus open resection for colorectal cancer: a metaanalysis of oncologic outcomes. J. Am. Coll. Surg. 2007, p. 439-446.

14. Bonjer, H.J., Hop, W.C.J., Nelson, H. et al. Laparoscopically assisted vs open colectomy for colon cancer. Arch. Surg. 2007, 142, p. 298-303.

15. Kitano, S., Kitajima, M., Konishi, F. et al. A multicenter study on laparoscopic surgery for colorectal cancer in Japan. Surg. Endosc. 2006, 20, p. 1348-1352.

16. Bärlehner, E., Benhidjeb, T., Anders, S., Schicke, B. Laparoscopic resection for rectal cancer. Surg. Endosc. 2005, 19, p. 757-766.

17. Aziz, O., Constantinides, V., Tekkis, P.P. et al. Laparoscopic versus open surgery for rectal cancer: a meta-analysis. Ann. Surg. Oncol. 2006, 13, p. 413-424.

18. Dostalík, J., Květenský, M., Mrázek, T., Martínek, L. Laparoskopická resekce sigmoidea. Rozhl. Chir. 1993, 72, s. 246–248.

19. Duda, M., Gryga, A., Dlouhý, M., Švach, I. Současný stav miniinvazivní chirurgie v České republice. Rozhl. Chir., 1999, 78, s. 242-247.

20. Dostalík, J., Martínek, L., Guňková, P., Guňka, I. Miniinvazivní chirurgie v České republice. Rozhl. Chir. 2006, 85, s. 361-364.

21. Vlček, P., Čapov, I., Jedlička, V. a kol. Robotické výkony v kolorektální chirurgii. Rozhl. Chir. 2008, 87, s. 135-137.

22. Dostalík, J., Martínek, L, Vávra, P. a kol. Laparokopická kolorektální chirurgie prokarcinom - zhodnocení vlastního souboru. Rozhl. Chir. 2006, 85, s. 35-40.

23. Škrovina, M., Bartoš, J., Czudek, S. a kol. Kolorektální karcinom - zhodnocení krátkodobých výsledků laparoskopické resekce u 350 pacientů. Čas. lék. čes. 2006, 145, s. 874-878.

24. Martínek, L., Dostalík, J., Vávra, P. a kol. Implementace skórovacího systému POSSUM pro objektivizaci morbidity laparoskopických operací kolorekta. Rozhl. Chir. 2008, 87, s. 26-31.

General practitioner for children and adolescents General practitioner for adults
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account