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Esen et al. Mini-invasive Surg 2018;2:29 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2018.32

Review Open Access

Open or laparoscopic resection: does approach
matter?

Ebru Esen , Cihangir Akyol 2
1
1 Department of General Surgery, Health Sciences University Konya Training and Research Hospital, Konya 42090, Turkey.
2 Department of General Surgery, Ankara University School of Medicine, Ankara 06230, Turkey.

Correspondence to: Dr. Cihangir Akyol, Department of General Surgery, Ankara University School of Medicine, Ankara, 06230
Turkey. E-mail: cihangirakyol@gmail.com

How to cite this article: Esen E, Akyol C. Open or laparoscopic resection: does approach matter? Mini-invasive Surg 2018;2:29.
http://dx.doi.org/10.20517/2574-1225.2018.32

Received: 30 May 2018 First Decision: 9 Jul 2018 Revised: 14 Aug 2018 Accepted: 30 Aug 2018 Published: 26 Sep 2018
Science Editor: Gordon N. Buchanan Copy Editor: Cui Yu Production Editor: Huan-Liang Wu

Abstract
In colon cancer surgery, laparoscopic resection is a safer and more feasible method than open resection; however, despite
its increasing popularity in recent years, laparoscopic approaches for the treatment of rectal cancer have not become a
standard therapy option, due to the technical difficulties in gaining access to the deep and narrow pelvis and the steep
learning curve. Multiple randomized trials found that short-term oncological outcomes and perioperative mortality and
morbidity were comparable between laparoscopic and open rectal surgery, whereas comparative data between the two
approaches. Comparative data between the two approaches on long-term oncological outcomes remain limited. In this
review, we summarize the current status of laparoscopic surgery in rectal cancer in the light of recent studies.

Keywords: Laparoscopy, rectal cancer, oncological outcome, physiological outcome

INTRODUCTION
Colorectal cancer is one of the most commonly diagnosed cancers worldwide and is responsible for ap-
[1]
proximately 750,000 cancer-related deaths annually . Approximately 30% of colorectal adenocarcinomas
originate from the rectum. In a multidisciplinary approach that combines chemotherapy with radiotherapy
for the treatment of colorectal cancer, surgery remains the primary treatment option. The most significant
improvement in rectal surgery was the widespread implementation of the total mesorectal excision (TME)
[2]
technique, first described by Heald et al. in 1982, which led to a reduction in locoregional recurrence rates
[1]
from 25% in the 1980s to under 4% today .

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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