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World J Gastrointest Endosc. Dec 10, 2015; 7(18): 1295-1299
Published online Dec 10, 2015. doi: 10.4253/wjge.v7.i18.1295
Core value of laparoscopic colorectal surgery
Xin-Xiang Li, Ren-Jie Wang
Xin-Xiang Li, Ren-Jie Wang, Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, China
Xin-Xiang Li, Ren-Jie Wang, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
Author contributions: Li XX and Wang RJ wrote and edited the manuscript.
Conflict-of-interest statement: The authors have no conflict of interest related to the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Xin-Xiang Li, MD, Professor, Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, 270 DongAn Road, Shanghai 200032, China. lxx1149@163.com
Telephone: +86-21-64175590 Fax: +86-21-64175590
Received: April 25, 2015
Peer-review started: April 26, 2015
First decision: September 14, 2015
Revised: October 5, 2015
Accepted: October 20, 2015
Article in press: October 27, 2015
Published online: December 10, 2015
Processing time: 226 Days and 3.9 Hours
Abstract

Since laparoscopy was first used in cholecystectomy in 1987, it has developed quickly and has been used in most fields of traditional surgery. People have now accepted its advantages like small incision, quick recovery, light pain, beauty and short hospital stays. In early times, there are still controversies about the application of laparoscopy in malignant tumor treatments, especially about the problems of oncology efficacy, incision implantation and operation security. However, these concerns have been fully eliminated by evidences on the basis of evidence-basis medicine. In recent years, new minimally invasive technologies are appearing continually, but they still have challenges and may increase the difficulties of radical dissection and the risks of potential complications, so they are confined to benign or early malignant tumors. The core value of the laparoscopic technique is to ensure the high quality of tumor’s radical resection and less complications. On the basis of this, it is allowed to pursue more minimally invasive techniques. Since the development of laparoscopic colorectal surgery is rapid and unceasing, we have reasons to believe that laparoscopic surgery will become gold standard for colorectal surgery in the near future.

Keywords: Laparoscopy; Minimally invasive surgery; Core value; Laparoscopic colorectal surgery

Core tip: This article discusses problems of oncology efficacy, incision implantation and operation security in laparoscopy on the basis of evidence-basis medicine, and also analyzes new minimally invasive technologies, their challenges and their range of application. The core value of the laparoscopic technique is studied and concluded.