MINIMALLY INVASIVE TECHNOLOGIES IN THE SURGICAL MANAGEMENT OF COLORECTAL CANCER AND ITS COMPLICATIONS
DOI:
https://doi.org/10.11603/2414-4533.2026.1.16090Keywords:
laparoscopic colectomy, complicated colon cancer, multivisceral resection, obstruction, peritoneal metastasis, systematic reviewAbstract
The aim of the work: to systematically evaluate evidence (2021–2025) on safety, feasibility, perioperative results, oncologic adequacy, and long-term outcomes of laparoscopic surgery in CCC.
Materials and Methods. PRISMA-guided systematic review of studies indexed in Scopus/PubMed/Web of Science (2021–2025). Inclusion: adult patients with complicated colon cancer undergoing laparoscopic or robotic-assisted colectomy; RCTs, prospective/retrospective cohorts, systematic reviews and meta-analyses. Primary outcomes: R0 rate, lymph node yield, 3-/5-year OS/DFS, peritoneal recurrence. Secondary outcomes: morbidity, conversion, LOS, blood loss.
Results. Evidence indicates that in high-volume centers laparoscopic surgery for selected CCC achieves comparable R0 resection and lymph node harvest to open surgery, with reduced blood loss and shorter length of stay. For T4b/multivisceral resection (MVR), feasibility is demonstrated in experienced teams; however, conversion and operative time are higher. Some studies signal increased peritoneal recurrence risk in T4 disease after minimally invasive approaches, without consistent detriment to OS. In obstruction, laparoscopy in stable patients is associated with lower morbidity versus open surgery; perforation remains controversial. Simultaneous laparoscopic resection for synchronous liver metastases shows comparable oncologic outcomes to open surgery in selected cohorts.
Conclusions. Laparoscopic surgery for CCC is feasible and oncologically sound in selected patients treated by experienced surgeons. Careful case selection is critical in T4b disease and perforation.
Received: 19.01.2026 | Revised: 02.02.2026 | Accepted: 23.02.2026
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