1 Guidance

1 Guidance

This guidance replaces Laparoscopic surgery for colorectal cancer (NICE technology appraisal guidance 17) issued in December 2000.

1.1 Laparoscopic (including laparoscopically assisted) resection is recommended as an alternative to open resection for individuals with colorectal cancer in whom both laparoscopic and open surgery are considered suitable.

1.2 Laparoscopic colorectal surgery should be performed only by surgeons who have completed appropriate training in the technique and who perform this procedure often enough to maintain competence. The exact criteria to be used should be determined by the relevant national professional bodies. Cancer networks and constituent Trusts should ensure that any local laparoscopic colorectal surgical practice meets these criteria as part of their clinical governance arrangements.

1.3 The decision about which of the procedures (open or laparoscopic) is undertaken should be made after informed discussion between the patient and the surgeon. In particular, they should consider:

  • the suitability of the lesion for laparoscopic resection

  • the risks and benefits of the two procedures

  • the experience of the surgeon in both procedures.