Laparoscopy is an effective tool for diagnosis and staging of malignan
cies. Laparoscopic resection of abdominal tumors has been performed ra
rely, with two exceptions: laparoscopic adrenalectomy and laparoscopic
resection of colorectal cancer. One of the best applications of minim
ally invasive surgery is the use of laparoscopic techniques for pallia
tion of abdominal cancer. Requiring thorough training and preparation
of surgeons and mandating their strict credentialing will reduce the r
isk of complications from laparoscopic surgery.