What Is Laparoscopic Surgery?
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Try for freeThis post was written with Consensus AI Academic Search Engine – please read our Disclaimer at the end of this article. Laparoscopic surgery, often referred to as minimally invasive surgery, is a modern surgical technique in which operations are performed through small incisions, typically 0.5 to 1.5 cm, as opposed to the larger incisions needed in traditional open surgery. This approach is widely used in various types of surgeries, including those for rectal and gastric cancers, due to its potential benefits in terms of recovery and outcomes.
Advantages of Laparoscopic Surgery
One of the primary advantages of laparoscopic surgery is the reduced blood loss during procedures. For instance, in the COLOR II trial, patients undergoing laparoscopic surgery for rectal cancer experienced significantly less blood loss compared to those undergoing open surgery (median 200 mL vs. 400 mL)1. Additionally, laparoscopic surgery often results in quicker recovery of bowel function and shorter hospital stays. In the same study, bowel function returned sooner, and hospital stays were shorter for patients in the laparoscopic group1.
Oncological Safety and Efficacy
The oncological safety of laparoscopic surgery has been a subject of extensive research. Studies such as the COREAN trial have demonstrated that laparoscopic surgery for rectal cancer provides similar long-term outcomes in terms of disease-free survival and overall survival when compared to open surgery2 5. Similarly, the KLASS-02-RCT trial found that laparoscopic distal gastrectomy for gastric cancer was comparable to open surgery in terms of relapse-free survival, suggesting its potential as a standard treatment option3.
Short-term and Long-term Outcomes
Laparoscopic surgery has been shown to offer favorable short-term outcomes, such as reduced postoperative pain and faster recovery times. For example, the LASRE trial reported that patients undergoing laparoscopic surgery for low rectal cancer had a shorter time to first flatus and defecation, as well as a shorter duration of hospitalization compared to those undergoing open surgery9. Long-term outcomes, such as overall survival and recurrence rates, have also been found to be comparable between laparoscopic and open surgeries in several studies, including the UK MRC CLASICC trial and the Australasian Laparoscopic Cancer of the Rectum trial6 8.
Conclusion
Laparoscopic surgery represents a significant advancement in surgical techniques, offering numerous benefits over traditional open surgery. It is associated with reduced blood loss, quicker recovery, and comparable oncological outcomes, making it a viable option for many patients undergoing surgery for cancers and other conditions. As research continues to support its efficacy and safety, laparoscopic surgery is likely to remain a preferred choice in the surgical field.
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