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Abstract The Institution Of Laparoscopic Approach To Curative Resection Of Malignant Growths Has Been Controversial. Nevertheless Laparoscopic Colectomy Is Rapidly Becoming The Surgical Technique Of Choice On The Expense Of Open Procedure. Laparoscopy Offers A Shorter Length Of Stay, A Decrease In Postoperative Pain , A Shorter Time To Return To Preoperative Activity Level, Improved Cosmoses’ And Reduced Morbidity. Laparoscopic Colectomy Does Not Change The Oncologic Surgical Principles, Including En-Bloc Resection, Proximal Lymph-Vascular Ligation, And Complete Lymphadenectomy, Adequate Longitudinal And Radial Margins And Wound Protection. A SUCCESSFUL Laparoscopic Sigmoidectomy For Cancer Was Reported In 1991 By Jacobs Et Al. Reports Of Port-Site Metastases Observed After Laparoscopic Removal Of Colon Cancer And Other Malignant Neoplasm Caused Serious Concern Among Surgeons And Halted The Rapid Adoption Of Minimally Invasive Surgery For Colon Cancer. The Reported Port-Site Recurrence Rate Dropped Rapidly. Zmora, 2001; Reported A Port-Site Recurrence Rate Of 1% In A Review Of 1737 Patients Who Had Undergone Laparoscopic Colorectal Resection For Malignancy Trials Randomizing Patients With Colon Cancer To Laparoscopically Assisted Surgery Or Open Resection Were Initiated Simultaneously In Europe And In North America To Evaluate The Oncological Safety Of Laparoscopic Colectomy. The Survival Data from The Barcelona Trial And from The Clinical Outcomes Of Surgical Therapy (COST) Study Were Published In 2002 And 2004, Respectively. The Long-Term Survival Data Of The Colon Cancer Laparoscopic Or Open Resection (COLOR) And Conventional Vs. Laparoscopic-Assisted Surgery In Patients With Colorectal Cancer (CLASICC) Trials Are Available. We Aimed To Enhance The Power In Determining Whether Laparoscopic Colectomy For Cancer Is Technically And Oncologically Safe. |