Minimal access surgery for rectal cancer: An update

Vanessa W. Hui, José G. Guillem

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations


Minimally invasive or minimal access surgery (MAS) for colon and rectal cancer was introduced in the early 1990s. Although laparoscopic colon surgery is now practiced worldwide, technical barriers, including a steep learning curve, preclude the widespread adoption of MAS techniques for rectal cancer. In addition, although randomized controlled trials have demonstrated that MAS techniques for colon cancer are oncologically equivalent to open surgery, similar confirmatory studies for rectal cancer have yet to be reported. In this Review, current evidence in support of laparoscopic and robotic total mesorectal excision for rectal cancer resection is presented. Other MAS approaches, such as transanal endoscopic microsurgery and natural orifice transluminal endoscopic surgery, are also discussed.

Original languageEnglish (US)
Pages (from-to)158-165
Number of pages8
JournalNature Reviews Gastroenterology and Hepatology
Issue number3
StatePublished - Mar 2014
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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