Understanding Outcomes of Minimally Invasive Colorectal Resections

After a period of relatively slow uptake, laparoscopic colorectal surgery is now broadly implemented, and novel tools and approaches continue to be introduced into specialty practice. Oncological and functional outcomes of laparoscopic colectomy appear to be equivalent to those of open surgery. Laparoscopy offers short-term recovery benefits, including less pain, earlier return of bowel function, and shorter hospital stay. In certain settings, it may even reduce costs. Unfortunately, validated metrics of technical performance, to enable meaningful credentialing or detailed comparisons of techniques, are lacking. In this review, we discuss the best outcome data available, and suggest avenues for future assessment of technical quality in minimally invasive colorectal surgery.