Total Laparoscopic and Laparoscopic-assisted Radical Colectomy for Carcinoma of Colon: A Report of 25 Cases
- VernacularTitle:全腹腔镜及腹腔镜辅助结肠癌根治术25例报告
- Author:
Chen WANG
;
Xusheng LI
;
Xiaodong XU
- Publication Type:Journal Article
- Keywords:
Laparoscope;
Carcinoma of Colon
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate clinical effects of laparoscopic radical colectomy for colon carcinoma.Methods Laparoscopic radical colectomy were performed in 25 patients with carcinoma of colon,including 17 cases of laparoscopic-assisted radical colectomy,and 8 cases of laparoscopic radical colectomy.Results Operation time was 100-310 min,with an average of 195 min.The mean of intraoperative blood loss was 180 ml(range,100-350 ml).Time to first bowl movement was 1-4 days(mean,1.7 days).Postoperative pathological examination revealed no residual and infiltration of tumor cells in stump.Infection of incision wound occurred in 2 cases,with no bleeding,leakage and stenosis of anastomosis.The length of postoperative hospital stay was 6-10 days,with an average of 7.5 days.19 cases were followed up for 2-38 months(mean,13 months),which showed no tumor recurrence and port-site metastasis in 17 cases,2 cases died from extensive metastasis at 12 and 14 months postoperatively.Conclusions Laparoscopic radical colectomy has advantages of minimal invasion,safety,quicker recovery after operation,better radical curative results.
