While laparoscopic approaches are used for many abdominal procedures and allow for faster recovery of bowel function, better immunologic response and overall accelerated recovery for the patient, the use of laparoscopy for cancer surgery is still a matter of debate. For patients with cancer, questions remain about the immunologic implications of laparoscopic surgery, the adequacy and standardization of laparoscopic techniques, the risk for disease recurrence, and the impact on survival. The safety and efficacy of laparoscopic surgery for colorectal cancer have certainly been established, but the same rigorous approach to other cancers has yet to be reported. In this article, we review the current data and state of art for laparoscopic approaches in abdominal cancer surgery. An electronic search of the Medline database was performed using different keywords that described abdominal cancer surgery. For each organ, a search was conducted including keywords and phrases: cancer, laparoscopic versus open surgery, and the specific organ. The search terms were identified in the title, abstract, or medical subject heading.
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