Advances in Laparoscopic Colorectal Surgery

Surg Clin North Am. 2017 Jun;97(3):547-560. doi: 10.1016/j.suc.2017.01.005.

Abstract

Laparoscopic colorectal surgery has now become widely adopted for the treatment of colorectal neoplasia, with steady increases in utilization over the past 15 years. Common minimally invasive techniques include multiport laparoscopy, single-incision laparoscopy, and hand-assisted laparoscopy, with the choice of technique depending on several patient and surgeon factors. Laparoscopic colorectal surgery involves a robust learning curve, and fellowship training often lays the foundation for a high-volume laparoscopic practice. This article provides a summary of the various techniques for laparoscopic colorectal surgery, including operative steps, the approach to difficult patients, and the learning curve for proficiency.

Keywords: Colorectal cancer; Hand-assisted laparoscopy; Laparoscopy; Learning curve; Minimally invasive surgery.

Publication types

  • Review

MeSH terms

  • Clinical Competence
  • Colorectal Neoplasms / complications
  • Colorectal Neoplasms / surgery*
  • Colorectal Surgery* / methods
  • Colorectal Surgery* / trends
  • Humans
  • Laparoscopy*
  • Obesity / complications
  • Risk Factors