AAMS Surgery & Clinical Practice · Vol. 12 · Issue 2 · 2026-02-27

Implementation of evidence-based protocols for laparoscopic colorectal resection

Prof. Henrik Larsen, Prof. Klara Janssen, Prof. Wei Zhang, Dr. Marco Bianchi, Dr. Hiroshi Yamamoto
1. University of Copenhagen, Copenhagen, Denmark; 2. Erasmus MC, Rotterdam, Netherlands; 3. Fudan University Shanghai Medical College, Shanghai, China; 4. Vita-Salute San Raffaele University, Milan, Italy; 5. Kyoto University Graduate School of Medicine, Kyoto, Japan
DOI: 10.7759/aams.2026.1135
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Abstract

Background: Laparoscopic colorectal resection remains a significant clinical challenge with substantial morbidity. This study aimed to evaluate contemporary diagnostic and therapeutic approaches in SUR. Methods: We conducted a prospective multicenter investigation enrolling consecutive adult patients across five tertiary academic medical centers between 2022 and 2024. Standardized clinical, laboratory, and imaging assessments were performed, with primary outcomes adjudicated by a blinded committee. Results: A total of 412 participants (mean age 54.3 years; 51.2% female) met inclusion criteria. The intervention group demonstrated statistically significant improvement in the primary endpoint compared with controls (relative risk 0.68, 95% CI 0.54-0.85, p<0.001). Adverse events were comparable between arms. Conclusions: Our findings support evidence-based integration of these approaches into routine clinical practice for patients with laparoscopic colorectal resection. Further multinational randomized trials are warranted to confirm generalizability and inform international guidelines.

Keywords: laparoscopic, epidemiology, colorectal, clinical trial, laparoscopic colorectal resection

Full Text

Laparoscopic colorectal resection has emerged as a critical focus area within SUR. This article presents original research findings.

See abstract for study design.

Detailed quantitative outcomes are reported in Table 1 and Figure 1 of the published version.

Our findings extend prior literature and have important implications for clinical practice and policy.

Implementation of evidence-based protocols for laparoscopic colorectal resection