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Laparoscopy in Colorectal Cancer Management

  • Chapter
Colorectal Cancer

Part of the book series: Current Clinical Oncology ((CCO))

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Abstract

The successful removal of the gallbladder with minimally invasive surgery in the late 1980s and the demonstration of initial benefits of less morbidity and shorter recovery times with laparoscopie cholecystectomy (1,2) encouraged other surgeons to apply this new method in their field of expertise. In the case of colon and rectal surgery, the next logical step was the development laparoscopie bowel resection. The reasons for the initial use in colonic surgery were the avoidance of a long and often painful incision and a more rapid postoperative recovery. Aspiring to these goals, surgeons began performing laparoscopie colectomy as early as 1990. The first laparoscopic-assisted colonic resection was a right hemicolectomy, which was accomplished by Moises Jacobs in Miami, FL, in June 1990 (3). Joseph Udo performed a laparoscopie colostomy closure on November 1990 (4). The anastomosis was constructed with a circular stapling device. The introduction of laparoscopie intestinal staplers allowed intraperitoneal transection of the bowel. Using this instrument for ligation of the mesentery and transection of the colon, Dennis Fowler performed the first laparoscopic-assisted sigmoid resection in October 1990 (5). Using a similar technique described by Fowler, Patrick Leahy performed the first laparoscopic-assisted low anterior resection for a proximal rectal cancer in November 1990 (4). The first series of 20 patients who underwent laparoscopic-assisted colectomy was published in 1991 by Jacobs et al. (3). The authors provided a detailed description of their technique. Although limited by the lack of appropriate instruments, these surgeons were able to perform right and sigmoid colectomies. Other investigators were then stimulated to follow this accomplishment. Subsequently, the literature has been replete with reports of series of varying sizes, innovative techniques for virtually every colorectal operation, and the results, complications, and consequences associated with the new technology.

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Authors
  1. Heidi Nelson
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  2. Bernardo Tisminezky
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Editors and Affiliations

  1. Gastrointestinal Oncology Division, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Leonard B. Saltz MD

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Nelson, H., Tisminezky, B. (2002). Laparoscopy in Colorectal Cancer Management. In: Saltz, L.B. (eds) Colorectal Cancer. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-160-2_16

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  • DOI: https://doi.org/10.1007/978-1-59259-160-2_16

  • Publisher Name: Humana Press, Totowa, NJ

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