Laparoscopic Surgery for Colorectal Cancer

  • Tetsuro Tominaga
  • Tsuyoshi Konishi


Laparoscopic surgery for colorectal cancer has become an established alternative to open surgery. Multiple randomized controlled trials have demonstrated potential advantages of laparoscopic surgery in short-term outcomes, including lower blood loss, faster recovery of bowel movement, shorter length of hospital stay, and lower postoperative complications. In colon cancer, long-term outcome of laparoscopic surgery have been reported similar to open surgery. However, in rectal cancer, potential disadvantage of laparoscopic surgery have been reported regarding the quality of resected surgical specimen. Further evidences are needed whether long-term outcomes are truly similar between laparoscopic and open surgery in rectal cancer. In this chapter, evidences on laparoscopic colorectal surgery compared to open surgery are reviewed, particularly focusing on differences between Japan and other countries.


Laparoscopic surgery Colorectal cancer Randomized controlled trial Lateral pelvic lymph node dissection 


Conflict of Interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Gastroenterological SurgeryCancer Institute Hospital, Japanese Foundation for Cancer ResearchTokyoJapan

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