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Laparoscopic colorectal surgery: current status and implementation of the latest technological innovations.

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dc.contributor.author Pascual Damieta, Marta
dc.contributor.author Salvans Ruiz, Silvia
dc.contributor.author Pera Roman, Miguel
dc.date.accessioned 2016-04-29T07:44:39Z
dc.date.available 2016-04-29T07:44:39Z
dc.date.issued 2016
dc.identifier.citation Pascual M, Salvans S, Pera M. Laparoscopic colorectal surgery: current status and implementation of the latest technological innovations. World J Gastroenterol. 2016 Jan 14;22(2):704-17. doi: 10.3748/wjg.v22.i2.704.
dc.identifier.issn 1007-9327
dc.identifier.uri http://hdl.handle.net/10230/26226
dc.description.abstract The introduction of laparoscopy is an example of surgical innovation with a rapid implementation in many areas of surgery. A large number of controlled studies and meta-analyses have shown that laparoscopic colorectal surgery is associated with the same benefits than other minimally invasive procedures, including lesser pain, earlier recovery of bowel transit and shorter hospital stay. On the other hand, despite initial concerns about oncological safety, well-designed prospective randomized multicentre trials have demonstrated that oncological outcomes of laparoscopy and open surgery are similar. Although the use of laparoscopy in colorectal surgery has increased in recent years, the percentages of patients treated with surgery using minimally invasive techniques are still reduced and there are also substantial differences among centres. It has been argued that the limiting factor for the use of laparoscopic procedures is the number of surgeons with adequate skills to perform a laparoscopic colectomy rather than the tumour of patients' characteristics. In this regard, future efforts to increase the use of laparoscopic techniques in colorectal surgery will necessarily require more efforts in teaching surgeons. We here present a review of recent controversies of the use of laparoscopy in colorectal surgery, such as in rectal cancer operations, the possibility of reproducing complete mesocolon excision, and the benefits of intra-corporeal anastomosis after right hemicolectomy. We also describe the results of latest innovations such as single incision laparoscopic surgery, robotic surgery and natural orifice transluminal endoscopic surgery for colon and rectal diseases.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Baishideng Publishing Group
dc.rights This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
dc.subject.other Còlon -- Càncer
dc.subject.other Laparoscòpia
dc.subject.other Cirurgia laparoscòpica
dc.title Laparoscopic colorectal surgery: current status and implementation of the latest technological innovations.
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3748/wjg.v22.i2.704
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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