Laparoscopic resection of metachronous colorectal carcinoma
10.3760/cma.j.issn.1007-631X.2017.01.004
- VernacularTitle:腹腔镜异时性结直肠癌根治术的临床疗效
- Author:
Jie BAI
;
Xinghua LIU
;
Ming CAI
;
Peng ZHANG
;
Jinbo GAO
;
Guobin WANG
;
Kaixiong TAO
;
Xiaoming SHUAI
- Keywords:
Colorectal neoplasms;
Proctocolectomy,restorative;
Laparoscopes
- From:
Chinese Journal of General Surgery
2017;32(1):9-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate laparoscopic radical resection of metachronous colorectal carcinoma.Methods A total of 13 patients with metachronous colorectal carcinoma undergoing laparoscopic resection in Department of Gastrointestinal Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2013 to December 2015 were analyzed retrospectively.Results The mean time of surgery was (156 ± 9) min.Tumors were located in the right hemicolon in 3 cases,in the transverse colon in one,in the left hemicolon in 2,in the sigmoid colon in four and in the rectum in 4.The mean blood loss was (66 ± 21) ml.There was no conversion to open surgery.Two patients were done with protective ileostomy.Postoperative gastrointestinal function recovery time was (2.5 ± 0.7) days.One postoperative intra-abdominal bleeding was successfully controlled laparoscopically.Posteperative length of hospital stay was (26.2 ± 2.9) days.The median follow-up was 12 months (5-30 months) with no cancer recurrence.Conclusions Laparoscopic radical resection of metachronous colorectal carcinoma has good curative effect,and high success rate in spite of previous history of laparotomy.
