Evolution and future of laparoscopic colorectal surgery.

Abstract:

:The advances of laparoscopic surgery since the early 1990s have caused one of the largest technical revolutions in medicine since the detection of antibiotics (1922, Flemming), the discovery of DNA structure (1953, Watson and Crick), and solid organ transplantation (1954, Murray). Perseverance through a rocky start and increased familiarity with the chop-stick surgery in conjunction with technical refinements has resulted in a rapid expansion of the indications for minimally invasive surgery. Procedure-related factors initially contributed to this success and included the improved postoperative recovery and cosmesis, fewer wound complications, lower risk for incisional hernias and for subsequent adhesion-related small bowel obstructions; the major breakthrough however came with favorable long-term outcomes data on oncological parameters. The future will have to determine the specific role of various technical approaches, define prognostic factors of success and true progress, and consider directing further innovation while potentially limiting approaches that do not add to patient outcomes.

journal_name

World J Gastroenterol

authors

Kaiser AM

doi

10.3748/wjg.v20.i41.15119

subject

Has Abstract

pub_date

2014-11-07 00:00:00

pages

15119-24

issue

41

eissn

1007-9327

issn

2219-2840

journal_volume

20

pub_type

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