Chirurgische Resektion des kolorektalen Karzinoms
摘要
The surgical management of colorectal cancer has evolved with the introduction of minimal invasive techniques (MIT) and robot-assisted procedures. We examine the indications and advantages of these techniques compared to conventional open surgery.
ObjectiveTo review the current evidence to provide informed guidance for the selection between minimally invasive, robot-assisted, and conventional surgical approaches.
Materials and methodsInvestigative literature search to identify relevant studies, meta-analyses and guidelines.
ResultsMIT and robotics offer advantages in terms of postoperative morbidity and recovery, while conventional procedures are indispensable in certain cases. Concerning oncological outcomes, no procedure was identified as superior.
ConclusionThe individual decision for the optimal surgical technique should be made considering tumor and patient characteristics, surgical expertise, and patient preferences.