Advertisement

Techniques in Coloproctology

, Volume 14, Issue 1, pp 45–49 | Cite as

Laparoscopic anterior resection

  • H. Y. S. CheungEmail author
  • C. C. Chung
  • M. K. W. Li
How I Do It

Abstract

Laparoscopic colectomy for cancer is increasingly practiced worldwide in the last 2 decades. However, due to procedural complexity, laparoscopic rectal cancer excision had not proceeded at a similar pace. This article deals with the technique of laparoscopic anterior resection. Resection of rectosigmoid or upper rectal tumors is first described, followed by the more difficult sphincter-saving total mesorectal excision. We have been using and modifying this technique of laparoscopic anterior resection for rectal cancer since 1990s. In our recent review, the local recurrence rate was 7.4%, and the overall 5-year survival was 70%. Our data suggest laparoscopic resection for rectal cancer is safe and is the procedure of choice in selected patients.

Keywords

Anterior resection Rectal cancer Laparoscopy 

Supplementary material

(MPG 103308 kb)

References

  1. 1.
    Redwine DB, Sharpe DR (1991) Laproscopic segmental resection of the sigmoid colon for endometriosis. J Laparoendosc Surg 1:217–220PubMedGoogle Scholar
  2. 2.
    Schlinkert RT (1991) Laparoscopic-assisted hemicolectomy. Dis Colon Rectum 34:1030–1031CrossRefPubMedGoogle Scholar
  3. 3.
    Kuhry E, Schwenk WF, Bonjer HJ et al (2008) Long-term results of laparoscopic colorectal cancer resection. Cochrane Database Syst Rev (2):CD003432. 2008 Apr 16, ReviewGoogle Scholar
  4. 4.
    COST Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059CrossRefGoogle Scholar
  5. 5.
    Veldkamp R, Kuhry E, Hop WC et al (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomized trial. Lancet Oncol 6:477–484CrossRefPubMedGoogle Scholar
  6. 6.
    Schlachta CM, Mamazza J, Pouline EC et al (2001) Defining a learning curve for laparoscopic colorectal resection. Dis Colon Rectum 44:217–222CrossRefPubMedGoogle Scholar
  7. 7.
    Wong JC, Chung CC, Li MKW et al (2006) Endo-lap OR: an innovative “minimally invasive operating room” design. Surg Endosc 24:1252–1256CrossRefGoogle Scholar
  8. 8.
    Chung CC, Kwok SPY, Li AKC et al (1997) Use of cotton tape tie in laparoscopic colorectal surgery. AZNJ Surg 67:293–294Google Scholar
  9. 9.
    Chung CC, Ha JPY, Li MKW et al (2001) Laparoscopic-assisted total mesorectal excision and colonic J pouch reconstruction in the treatment of rectal cancer. Surg Endosc 15:1098–1101CrossRefPubMedGoogle Scholar
  10. 10.
    Tsang WWC, Chung CC, Li MKW (2003) Prospective evaluation of laparoscopic total mesorectal excision with colonic J-pouch reconstruction for mid and low rectal cancers. Br J Surg 90:867–871CrossRefPubMedGoogle Scholar
  11. 11.
    Tsang WWC, Chung CC, Li MKW et al (2005) Laparoscopic total mesorectal excision with colonic J-pouch reconstruction: five-year results. Ann Surg 243:353–358CrossRefGoogle Scholar
  12. 12.
    Ng KH, Chung CC, Li MKW et al (2009) Laparoscopic surgery for rectal cancer: lessons learned from 579 cases. Ann Surg 249:82–86CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • H. Y. S. Cheung
    • 1
    Email author
  • C. C. Chung
    • 1
  • M. K. W. Li
    • 1
  1. 1.Department of Surgery, Pamela Youde Nethersole Eastern HospitalSpecial Administrative Region (SAR)Chai WanChina

Personalised recommendations