Laparoscopic colorectal surgery: new paradigm towards excellence


  • Birbal Kumar Department of Minimal Invasive Surgery, HPB and General Surgery, Marengo QRG, Haryana, India
  • Dipankar S. Mitra Department of Minimal Invasive Surgery, HPB and General Surgery, Marengo QRG, Haryana, India
  • Balkishan Gupta Department of Minimal Invasive Surgery, HPB and General Surgery, Marengo QRG, Haryana, India
  • Chandramohan Department of Minimal Invasive Surgery, HPB and General Surgery, Marengo QRG, Haryana, India



Laparoscopic, Colorectal, Colectomy, Randomized controlled trials, Pelvic dissection


There is evidence accumulated that the laparoscopic approach is equivalent or superior to an open operation for a broad spectrum of colorectal procedures. Laparoscopic colectomy has been accepted late due to its technical complexity and favorable outcome. This is because of its steep learning curve, concerns with oncological outcomes, lack of randomized controlled trials (RCTs) and initial reports on port-site recurrence after curative resection. As the field continues to evolve surgeons are gaining increasing experience with more complex procedures, including total abdominal colectomies and low pelvic dissection. These advances expand the spectrum of indications that are appropriate for laparoscopic approach and the number of patients who potentially benefit from the technique.


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