Abstract

After the acceptance of laparoscopy as the gold standard management for cholelithiasis, more and more thoughts are now being directed towards the use of laparoscopy in colorectal cancer surgery. Advantages of laparoscopic surgery like less postoperative pain, shorter hospital stay, decreased incidence of paralytic ileus, improved cosmesis, less intraoperative blood loss, decreased use of narcotics, and fewer postoperative wound complications have been the driving force of this consideration.1-3 But concerns remain regarding potential violation of principles of oncologic surgery, technical aspects of performing the procedure, adequate staging capability, and existing learning curves.4,5 Port-site recurrences were the major setback in the use of laparoscopy for colorectal malignancies. Hence investigators embarked on conducting multicentric randomized controlled trials to compare the effect of laparoscopic colorectal surgery and open surgery for colorectal malignancy in terms of recurrence and survival.

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