Abordagens laparoscópicas na cirurgia de Câncer de Cólon: uma revisão sistemática
DOI:
https://doi.org/10.34119/bjhrv6n4-406Keywords:
Câncer de Cólon, cirurgia laparoscópica, cirurgia robótica, tratamento minimamente invasivo, revisão sistemáticaAbstract
O câncer de cólon é uma doença de grande impacto em termos de saúde pública, sendo uma das principais causas de morbidade e mortalidade globalmente. Nesse contexto, a laparoscopia tem se destacado como uma abordagem cirúrgica promissora para o tratamento desse tipo de câncer. Através de uma revisão sistemática da literatura atual, foi possível comprovar a eficácia e segurança da laparoscopia, revelando benefícios significativos no período pós-operatório, como redução do tempo de internação hospitalar e uma recuperação mais rápida dos pacientes. No entanto, para aprimorar ainda mais a prática cirúrgica, foram desenvolvidas abordagens robóticas que também demonstraram resultados oncológicos equivalentes. Embora ainda sejam necessários estudos adicionais para corroborar essas descobertas, a escolha da abordagem cirúrgica adequada deve ser feita de forma individualizada, considerando as características específicas do paciente e do tumor. Dessa forma, o avanço contínuo do treinamento e da pesquisa é essencial para melhor compreender as implicações das abordagens laparoscópicas no tratamento do câncer de cólon no futuro.
References
BONJER, H. J. et al. A randomized trial of laparoscopic versus open surgery for rectal cancer. New England Journal of Medicine, v. 372, n. 14, p. 1324–1332, 2015.
BRAY, F. et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, v. 68, n. 6, p. 394–424, 2018.
FLESHMAN, J. et al. Effect of Laparoscopic-Assisted Resection vs Open Resection of Stage II or III Rectal Cancer on Pathologic Outcomes: The ACOSOG Z6051 Randomized Clinical Trial. JAMA, v. 314, n. 13, p. 1346–1355, 2015.
GUILLOU, L. et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomized controlled trial. The Lancet, v. 365, n. 9472, p. 1718–1726, 2005.
JACOBS, M. et al. Laparoscopic colorectal surgery for cancer: intermediate term outcome. Surgical Endoscopy, v. 9, n. 10, p. 1099–1105, 1995.
JAYNE, D. et al. Five-Year Follow-up of the Medical Research Council CLASICC Trial of Laparoscopically Assisted Versus Open Surgery for Colorectal Cancer. British Journal of Surgery, v. 97, n. 11, p. 1638–1645, 2017.
KING, P. M. et al. Randomized clinical trial comparing laparoscopic and open surgery in patients with rectal cancer. British Journal of Surgery, v. 96, n. 9, p. 982–989, 2019.
KUHRY, E. et al. Long-term results of laparoscopic colorectal cancer resection. Cochrane Database of Systematic Reviews, n. 2, CD003432, 2007.
LIANG, J. T. et al. Long-term outcomes following laparoscopic versus open total mesorectal excision of rectal cancer. British Journal of Surgery, v. 102, n. 4, p. 407–415, 2015.
NELSON, H. et al. Guidelines for laparoscopic resection of curable colon and rectal cancer. Annals of Surgical Oncology, v. 24, n. 1, p. 31–38, 2017.
PARK, J. S. et al. Multicenter study of robotic resection for sigmoid colon cancer: comparison with laparoscopic resection. Surgical Endoscopy, v. 32, n. 6, p. 2732–2738, 2018.
PRENNAT, P. et al. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World Journal of Surgical Oncology, v. 17, n. 1, p. 66, 2019.
PRETE, F. P. et al. Robotic versus laparoscopic minimally invasive surgery for rectal cancer: A systematic review and meta-analysis of randomized controlled trials. Annals of Surgery, v. 267, n. 6, p. 1034–1046, 2018.
SAGES GUIDELINES COMMITTEE. Guidelines for Laparoscopic Resection of Curable Colon and Rectal Cancer. Society of American Gastrointestinal and Endoscopic Surgeons, 2020.
SCARPINATA, R. et al. Comparative costs of robotic, laparoscopic, and open rectal cancer surgery: a systematic review and meta-analysis. Journal of Comparative Effectiveness Research, v. 7, n. 12, p. 1207–1224, 2018.
TRASTULLI, S. et al. Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome. Colorectal Disease, v. 14, n. 4, p. 134–156, 2012.
VELDKAMP, R. et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomized trial. The Lancet Oncology, v. 6, n. 7, p. 477–484, 2005.
VLUG, M. S. et al. Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study). Annals of Surgery, v. 254, n. 6, p. 868-875, 2011.


