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Laparoscopic Surgery for Colorectal Cancer

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Abstract

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.

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References

  1. Cooperman AM, et al. Laparoscopic colon resection: a case report. J Laparoendosc Surg. 1991;1(4):221–4.

    Article  CAS  Google Scholar 

  2. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1(3):144–50.

    CAS  PubMed  Google Scholar 

  3. Lacy AM, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet. 2002;359(9325):2224–9.

    Article  Google Scholar 

  4. Nelson H, et al. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050–9.

    Article  CAS  Google Scholar 

  5. Green BL, et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. Br J Surg. 2013;100(1):75–82.

    Article  CAS  Google Scholar 

  6. Buunen M, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009;10(1):44–52.

    Article  Google Scholar 

  7. Hewett PJ, et al. tiral1 Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial. Ann Surg. 2008;248(5):728–38.

    Article  Google Scholar 

  8. Yamamoto S, et al. Short-term surgical outcomes from a randomized controlled trial to evaluate laparoscopic and open D3 dissection for stage II/III colon cancer: Japan Clinical Oncology Group Study JCOG 0404. Ann Surg. 2014;260(1):23–30.

    Article  Google Scholar 

  9. Bonjer HJ, et al. A randomized trial of laparoscopic versus open surgery for rectal cancer. N Engl J Med. 2015;372(14):1324–32.

    Article  CAS  Google Scholar 

  10. Jeong SY, et al. Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): survival outcomes of an open-label, non-inferiority, randomised controlled trial. Lancet Oncol. 2014;15(7):767–74.

    Article  Google Scholar 

  11. Fleshman J, et al. Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial. JAMA. 2015;314(13):1346–55.

    Article  CAS  Google Scholar 

  12. Stevenson AR, et al. Effect of laparoscopic-assisted resection vs open resection on pathological outcomes in rectal cancer: the ALaCaRT randomized clinical trial. JAMA. 2015;314(13):1356–63.

    Article  CAS  Google Scholar 

  13. Yamamoto S, et al. Laparoscopic surgery for stage 0/I rectal carcinoma: short-term outcomes of a single-arm phase II trial. Ann Surg. 2013;258(2):283–8.

    Article  Google Scholar 

  14. Hida K, et al. Open versus laparoscopic surgery for advanced low rectal cancer: a large, multicenter, propensity score matched cohort study in Japan. Ann Surg. 2018;268(2):318–24.

    Article  Google Scholar 

  15. Sauer R, et al. Preoperative versus postoperative chemoradiotherapy for rectal cancer. N Engl J Med. 2004;351(17):1731–40.

    Article  CAS  Google Scholar 

  16. Breugom AJ, et al. Adjuvant chemotherapy for rectal cancer patients treated with preoperative (chemo)radiotherapy and total mesorectal excision: a Dutch Colorectal Cancer Group (DCCG) randomized phase III trial. Ann Oncol. 2015;26(4):696–701.

    Article  CAS  Google Scholar 

  17. Folkesson J, et al. Swedish Rectal Cancer Trial: long lasting benefits from radiotherapy on survival and local recurrence rate. J Clin Oncol. 2005;23(24):5644–50.

    Article  Google Scholar 

  18. Watanabe T, et al. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2016 for the treatment of colorectal cancer. Int J Clin Oncol. 2018;23(1):1–34.

    Article  Google Scholar 

  19. Sugihara K, et al. Indication and benefit of pelvic sidewall dissection for rectal cancer. Dis Colon Rectum. 2006;49(11):1663–72.

    Article  Google Scholar 

  20. Liang JT. Technical feasibility of laparoscopic lateral pelvic lymph node dissection for patients with low rectal cancer after concurrent chemoradiation therapy. Ann Surg Oncol. 2011;18(1):153–9.

    Article  Google Scholar 

  21. Furuhata T, et al. Clinical feasibility of laparoscopic lateral pelvic lymph node dissection following total mesorectal excision for advanced rectal cancer. Surg Today. 2015;45(3):310–4.

    Article  Google Scholar 

  22. Nagayoshi K, et al. Laparoscopic lateral pelvic lymph node dissection is achievable and offers advantages as a minimally invasive surgery over the open approach. Surg Endosc. 2016;30(5):1938–47.

    Article  Google Scholar 

  23. Ogura A, et al. Feasibility of laparoscopic total mesorectal excision with extended lateral pelvic lymph node dissection for advanced lower rectal cancer after preoperative chemoradiotherapy. World J Surg. 2017;41(3):868–75.

    Article  Google Scholar 

  24. Yamaguchi T, et al. Laparoscopic versus open lateral lymph node dissection for locally advanced low rectal cancer: a subgroup analysis of a large multicenter cohort study in Japan. Dis Colon Rectum. 2017;60(9):954–64.

    Article  Google Scholar 

  25. Bae SU, et al. Robotic and laparoscopic pelvic lymph node dissection for rectal cancer: short-term outcomes of 21 consecutive series. Ann Surg Treat Res. 2014;86(2):76–82.

    Article  Google Scholar 

  26. Konishi T, et al. Multimedia article. Lateral lymph node dissection with preoperative chemoradiation for locally advanced lower rectal cancer through a laparoscopic approach. Surg Endosc. 2011;25(7):2358–9.

    Article  Google Scholar 

  27. Liu T, et al. Laparoscopic radical correction combined with extensive lymphadenectomy and pelvic autonomic nerve preservation for mid-to-low rectal cancer. Clin Colorectal Cancer. 2011;10(3):183–7.

    Article  Google Scholar 

  28. Park JS, et al. Laparoscopic extended lateral pelvic node dissection following total mesorectal excision for advanced rectal cancer: initial clinical experience. Surg Endosc. 2011;25(10):3322–9.

    Article  Google Scholar 

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Correspondence to Tsuyoshi Konishi .

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Tominaga, T., Konishi, T. (2019). Laparoscopic Surgery for Colorectal Cancer. In: Ishida, H., Koda, K. (eds) Recent Advances in the Treatment of Colorectal Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-13-3050-6_4

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  • DOI: https://doi.org/10.1007/978-981-13-3050-6_4

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3049-0

  • Online ISBN: 978-981-13-3050-6

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