LAPAROSCOPIC MANAGEMENT OF RECTAL CANCER
Dr.Ahmed Abdelraheam Ehmieda Aboarrosh;
Abstract
Laparoscopy has improved the surgical treatment of various diseases due to its magnified vision and less traumatic surgery has developed as an interesting therapeutic alternative for open rectal surgery. The applicability of laparoscopy to rectal cancer surgery continues to expand.
In laparoscopic management of rectal cancer, it is important to standardize the preoperative and the postoperative care plans, so that optimal results can be obtained. Also appropriate patient choice and differences in surgical techniques or surgeon’s skills may account for the great variability in outcome.
Laparoscopy alone can hardly match the outcomes of ‘fast-track’ open rectal surgery, but on the other hand the laparoscopic approach should be considered as a main element of an enhanced recovery program, at least in rectal cancer cases.
In rectal cancer, technical difficulties as well as doubt on oncological clearance had once limited sphincter preservation to carcinomas located at the recto sigmoid junction or in the upper rectum. Progress in technology and skills, however, has finally led to the controversial extension of minimally invasive tech¬niques to distal rectal cancer with sphincter preservation.
In laparoscopic management of rectal cancer, it is important to standardize the preoperative and the postoperative care plans, so that optimal results can be obtained. Also appropriate patient choice and differences in surgical techniques or surgeon’s skills may account for the great variability in outcome.
Laparoscopy alone can hardly match the outcomes of ‘fast-track’ open rectal surgery, but on the other hand the laparoscopic approach should be considered as a main element of an enhanced recovery program, at least in rectal cancer cases.
In rectal cancer, technical difficulties as well as doubt on oncological clearance had once limited sphincter preservation to carcinomas located at the recto sigmoid junction or in the upper rectum. Progress in technology and skills, however, has finally led to the controversial extension of minimally invasive tech¬niques to distal rectal cancer with sphincter preservation.
Other data
| Title | LAPAROSCOPIC MANAGEMENT OF RECTAL CANCER | Other Titles | عـلاج سرطـان الـمستقيـم بواسطة جـراحة المناظيـر | Authors | Dr.Ahmed Abdelraheam Ehmieda Aboarrosh | Issue Date | 2014 |
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