Controversies in Surgical Oncology: Does the Minimally Invasive Approach for Rectal Cancer Provide Equivalent Oncologic Outcomes Compared with the Open Approach?
Robert K ClearyArden M MorrisGeorge J ChangAmy L HalversonPublished in: Annals of surgical oncology (2018)
Caution should be exercised when choosing surgical options for rectal cancer. Results of randomized trials could not prove that short-term oncologic outcomes of laparoscopic surgery were equivalent to those after open surgery even when performed by surgeons with laparoscopic expertise. However, reported long-term data have not shown a difference in outcomes between laparoscopic and open surgery. Future advances in minimally invasive technology may improve oncologic margins but these will require careful study and scrutiny.
Keyphrases
- minimally invasive
- robot assisted
- rectal cancer
- locally advanced
- laparoscopic surgery
- prostate cancer
- palliative care
- radical prostatectomy
- squamous cell carcinoma
- radiation therapy
- big data
- electronic health record
- machine learning
- insulin resistance
- acute coronary syndrome
- current status
- coronary artery disease
- coronary artery bypass
- glycemic control