Laparoscopic assisted radical resection for colorectal cancer
- VernacularTitle:腹腔镜辅助下结直肠癌根治术40例
- Author:
Andong ZHU
;
Shouzhi DIAO
;
Huanju GUO
- Publication Type:Journal Article
- Keywords:
Laparoscope;
Colon and rectum;
Tumor;
Surgery
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To sum up the experience of laparoscopic assisted radical resection for colorectal cancer. Methods Radical resection was operated on 40 patients with colorectal cancer under laparoscope. According to the Dukes’ classification, 21 patients were classified as stage A, 16 patients as stage B and 3 patients, stage C.There were 2 cases of cecum cancer, 4 cases of ascending colon cancer, 13 cases of sigmoid colon cancer, and 21 cases of rectum cancer. Results Laparoscopic assisted operations were accomplished in all the 40 patients. The operation time was 110.8?23.5 min and the intraoperative blood loss was 150.4?23.2 ml. The patients began to ambulate 12.2?3.8 hours after the surgery and the time to first passing flatus was 39.3?4.2 hours. Follow- up for 2～72 months (mean, 38.5 months) found no metastasis, local recurrence, and port or incision implantation in all the patients but one,who refused chemotherapy and had a cancer recurrence one year after surgery. Conclusions Laparoscopic radical resection is applicable to colorectal cancer at Dukes’ stage A, B, or C, in which the lymph nodes can be removed as thoroughly as open radical surgery.
