Published online Dec 10, 2015. doi: 10.4253/wjge.v7.i18.1295
Peer-review started: April 26, 2015
First decision: September 14, 2015
Revised: October 5, 2015
Accepted: October 20, 2015
Article in press: October 27, 2015
Published online: December 10, 2015
Since laparoscopy was first used in cholecystectomy in 1987, it has developed quickly and has been used in most fields of traditional surgery. People have now accepted its advantages like small incision, quick recovery, light pain, beauty and short hospital stays. In early times, there are still controversies about the application of laparoscopy in malignant tumor treatments, especially about the problems of oncology efficacy, incision implantation and operation security. However, these concerns have been fully eliminated by evidences on the basis of evidence-basis medicine. In recent years, new minimally invasive technologies are appearing continually, but they still have challenges and may increase the difficulties of radical dissection and the risks of potential complications, so they are confined to benign or early malignant tumors. The core value of the laparoscopic technique is to ensure the high quality of tumor’s radical resection and less complications. On the basis of this, it is allowed to pursue more minimally invasive techniques. Since the development of laparoscopic colorectal surgery is rapid and unceasing, we have reasons to believe that laparoscopic surgery will become gold standard for colorectal surgery in the near future.
Core tip: This article discusses problems of oncology efficacy, incision implantation and operation security in laparoscopy on the basis of evidence-basis medicine, and also analyzes new minimally invasive technologies, their challenges and their range of application. The core value of the laparoscopic technique is studied and concluded.