Minimally Invasive Surgery for Locally Advanced Rectal Cancer

Katerina O Wells; Walter R Peters

doi:10.1016/j.soc.2018.11.005

Minimally Invasive Surgery for Locally Advanced Rectal Cancer

Surg Oncol Clin N Am. 2019 Apr;28(2):297-308. doi: 10.1016/j.soc.2018.11.005. Epub 2018 Dec 24.

Authors

Katerina O Wells¹, Walter R Peters²

Affiliations

¹ Division of Colon and Rectal Surgery, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA.
² Division of Colon and Rectal Surgery, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA. Electronic address: Walter.Peters@BSWHealth.org.

PMID: 30851830
DOI: 10.1016/j.soc.2018.11.005

Abstract

Total mesorectal excision (TME) can be safely performed through a minimally invasive approach by experienced surgeons and may offer patients benefit in certain short-term outcomes. Long-term oncologic outcomes and meta-analysis of the most recent randomized controlled trials may offer additional clarity regarding the role of laparoscopic TME and those patients for whom the approach is most appropriate. Until then, laparoscopic TME should be used judiciously. As the landscape of rectal cancer surgery evolves, the necessary constant needs to be multidisciplinary oversight of rectal cancer surgery performed by surgeons and surgical centers experienced in this critically important procedure.

Keywords: Laparoscopy; Minimally invasive surgery; Proctectomy; Rectal cancer; Robotic surgery; Total mesorectal excision; Transanal TME.

Publication types

Review

MeSH terms

Humans
Laparoscopy / methods*
Rectal Neoplasms / surgery*
Robotic Surgical Procedures / methods*