[Critical analysis of the laparoscopic approach in colorectal surgery based on the personal experience of 613 interventions].

Initial experience of colo-rectal laparoscopic surgery, after a period of enthusiasm tempered by anticipated technical difficulties, was held back due to reservations made in the case of operations for cancer, following the publication warning surgeons concerning the danger of the development of port-site metastasis. Nevertheless, this type of surgery continued to be developed for benign diseases of the colon, enabling acquiring of the necessary surgical skill. This skill could then applied by experienced surgical teams for the treatment of cancer, that do not seem to show negative aspects, in connection with local recurrences or 5 years survival rates.