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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2024; 16(6): 1485-1492
Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1485
Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1485
Has the open surgical approach in colorectal cancer really become uncommon?
Maria Cariati, Department of Surgery, Azienda Sanitaria Provinciale di Crotone, Crotone 88900, Italy
Giuseppe Brisinda, Abdominal and Endocrine Metabolic Medical and Surgical Sciences, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy
Maria Michela Chiarello, Department of Surgery, Azienda Sanitaria Provinciale di Cosenza, Cosenza 87100, Italy
Author contributions: Cariati M and Chiarello MM designed the research; Cariati M performed the research; Brisinda G and Chiarello MM analyzed the data; and all the authors wrote, read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Giuseppe Brisinda, MD, Professor, Surgeon, Abdominal and Endocrine Metabolic Medical and Surgical Sciences, Fondazione Policlinico Universitario A Gemelli IRCCS, 8 Largo Agostino Gemelli, Rome 00168, Italy. gbrisin@tin.it
Received: December 18, 2023
Revised: April 29, 2024
Accepted: May 15, 2024
Published online: June 27, 2024
Processing time: 194 Days and 15.9 Hours
Revised: April 29, 2024
Accepted: May 15, 2024
Published online: June 27, 2024
Processing time: 194 Days and 15.9 Hours
Core Tip
Core Tip: In terms of oncological outcomes and quality of resection, laparoscopic approach allows to do just as well as open surgery, in particular the number of the lymph nodes removed is identical, regardless of the access. However, the laparoscopic approach is not recommended when the neoplasm presents with urgency, in the occlusive or perforated phase, as well as it is not recommended for locally advanced tumors. When the tumor involved the serosal layer or invades an adjacent organ, open “en-bloc” excision is recommended.