Embracing minimally invasive approaches to colorectal cancer resection.
10.4103/singaporemedj.SMJ-2025-068
- Author:
Nan Zun TEO
1
;
James Weiquan LI
2
;
James Chi Yung NGU
1
;
Tiing Leong ANG
2
Author Information
1. Department of Surgery, Changi General Hospital, Singapore.
2. Duke-NUS Medical School, Singapore.
- Publication Type:Review
- Keywords:
Artificial intelligence;
colonic stenting;
colorectal cancer;
endoscopic resection;
image-enhanced endoscopy;
minimally invasive surgery
- MeSH:
Humans;
Colorectal Neoplasms/surgery*;
Minimally Invasive Surgical Procedures/methods*;
Laparoscopy/methods*;
Colectomy/methods*;
Robotic Surgical Procedures/methods*;
Treatment Outcome;
Colonoscopy/methods*
- From:Singapore medical journal
2025;66(Suppl 1):S38-S46
- CountrySingapore
- Language:English
-
Abstract:
The clinical burden of colorectal cancer (CRC) is high. Population-based screening and early detection are essential to improve the long-term clinical outcome. Nonetheless, a significant proportion of patients still present at an advanced stage, including with acute large bowel obstruction. Image-enhanced endoscopy and artificial intelligence can improve the detection and diagnosis of colonic adenomas and early cancer. Endoscopic resection is regarded as the preferred curative treatment option for colonic adenoma and T0 and T1 CRC limited to the superficial submucosa. Emergency colonic stenting as bridge to interval curative surgery is increasingly accepted as a first-line option when technically feasible. Minimally invasive resection techniques such as laparoscopic colectomy and robot-assisted colorectal surgery have also come of age. These techniques reduce post-treatment morbidity, shorten the recovery process and can be cost-effective while maintaining long-term oncological cure. These outcome measures are relevant to our patients; therefore, minimally invasive approaches to curative resection should be embraced.
