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Surgical Innovation
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Minimally Invasive Management of Colon Cancer

Marc Zerey, MD

Justin M. Burns, MD

Kent W. Kercher, MD

Timothy S. Kuwada, MD

Carolinas Laparoscopic and Advanced Surgery Program, Department of General Surgery, Carolinas Medical Center, Charlotte, NC

B. Todd Heniford, MD

Carolinas Laparoscopic and Advanced Surgery Program, Carolinas Medical Center, 1000 Blythe Blvd, MEB #601, Charlotte, NC 28203 todd.heniford{at}carolinashealthcare.org

One of the most controversial issues in minimally invasive surgery has been the implementation of laparoscopic techniques for the curative resection of colorectal malignancies. Initial concerns included the potential violation of oncologic principles, the effects of carbon dioxide, and the phenomenon of port site tumor recurrence. Basic science research and large randomized controlled trials are now demonstrating that these fears were unjustified. Long-term outcomes of laparoscopic colon resection compared with open colon resection for malignancy are comparable, and there may even be a survival benefit for a subset of patients who undergo laparoscopic resection.

Key Words: colorectal malignancy • laparoscopic resection • port site tumor

Surgical Innovation, Vol. 13, No. 1, 5-15 (2006)
DOI: 10.1177/155335060601300102
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