Laparoscopic Surgical Techniques in Colon Carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

王琛 , 李徐生 , 徐小東 , 呂西

Corresponding?author：

Keywords：

腹腔鏡; 結腸癌; 病理分期

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探討腹腔鏡結腸癌根治術的臨床效果。
方法　應用腹腔鏡外科技術對25例結腸癌患者實施腹腔鏡結腸癌根治術。
結果　本組25例手術時間110～310 min，平均195 min；術中出血量約100～350 ml，平均約180 ml；術后胃腸功能恢復時間1～4 d，平均 1.7 d。所有標本殘端無腫瘤細胞殘留、浸潤。所有病例術后未出現出血、吻合口漏和狹窄并發癥，僅有2例出現傷口感染。術后住院6～10 d，平均7.5 d；術后19例隨訪2～38個月，平均13個月，其中2例于手術后第12個月和14個月因腫瘤廣泛轉移、衰竭而死亡；余17例隨訪期間均未發現有轉移復發及切口種植。
結論　腹腔鏡結腸癌根治術具有微創、安全、術后恢復快、腫瘤根治徹底等優點，值得臨床推廣應用。

Citation： 王琛,李徐生,徐小東,呂西. Laparoscopic Surgical Techniques in Colon Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(6): 644-645. doi: Copy

1.	Kockerling F, Scheidbach H, Schneider C, et al. Laparoscopic abdominoperineal resection: early postoperative results of a prospective study involving 116 patients. The Laparoscopic Colorectal Surgery Study Group [Ｊ]. Dis Colon Rectum, 2000; 43(11)∶1503.
2.	HALS Study Group. Hand-assisted laparoscopic surgery vs. st-andard laparoscopic surgery for colorectal disease: a prospective randomized trial [Ｊ]. Surg Endosc, 2000; 14(10)∶896.
3.	Meijer DW, Bannenberg JJ, Jakimowicz JJ. Hand-assisted laparoscopic surgery: an overview [Ｊ]. Surg Endosc, 2000; 14(10)∶891.
4.	Poulin EC, Mamazza J, Schlachta CM, et al. Laparoscopic resection does not adversely affect early survival curves in patients undergoing surgery for colorectal adenocarcinoma [Ｊ]. Ann Surg, 1999; 229(4)∶487.
5.	Franklin ME, Kazantsev GB, Abrego D, et al. Laparoscopic surgery for stage Ⅲ colon cancer: long-term follow-up [Ｊ]. Surg Endosc, 2000; 14(7)∶612.
6.	Champault GG, Barrat C, Raselli R, et al. Laparoscopic versus open surgery for colorectal carcinoma: a prospective clinical trial involving 157 cases with a mean follow-up of 5 years [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2002; 12(2)∶88.
7.	Lezoche E, Feliciotti F, Paganini AM, et al. Results of laparoscopic versus open resections for non-early rectal cancer in patients with a minimum follow-up of four years [Ｊ]. Hepatogastroenterology, 2002; 49(47)∶1185.
8.	田文，李榮，陳凜. 結直腸癌腹腔鏡切除術對機體應激反應影響的臨床研究 [Ｊ]. 中國普外基礎與臨床雜志, 2004； 11（3）∶204.
9.	Ortega AE, Beart RW Jr, Steele GD Jr, et al. Laparoscopic bowel surgery registry. Preliminary results [Ｊ]. Dis Colon Rectum, 1995; 38(7)∶681.
10.	Hartley JE, Mehigan BJ, MacDonald AW, et al. Patterns of recurrence and survival after laparoscopic and conventional resections for colorectal carcinoma [Ｊ]. Ann Surg, 2000; 232(2)∶181.
11.	Lacy AM, Garcia-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial [Ｊ]. Lancet, 2002; 359(9325)∶2224.
12.	申占龍，王秋生，劉隆，等. 腹腔鏡輔助或手助結直腸癌根治術 [Ｊ]. 中國微創外科雜志， 2006; 6（7）∶513.

1. 　Kockerling F, Scheidbach H, Schneider C, et al. Laparoscopic abdominoperineal resection: early postoperative results of a prospective study involving 116 patients. The Laparoscopic Colorectal Surgery Study Group [Ｊ]. Dis Colon Rectum, 2000; 43(11)∶1503.
2. 　HALS Study Group. Hand-assisted laparoscopic surgery vs. st-andard laparoscopic surgery for colorectal disease: a prospective randomized trial [Ｊ]. Surg Endosc, 2000; 14(10)∶896.
3. 　Meijer DW, Bannenberg JJ, Jakimowicz JJ. Hand-assisted laparoscopic surgery: an overview [Ｊ]. Surg Endosc, 2000; 14(10)∶891.
4. 　Poulin EC, Mamazza J, Schlachta CM, et al. Laparoscopic resection does not adversely affect early survival curves in patients undergoing surgery for colorectal adenocarcinoma [Ｊ]. Ann Surg, 1999; 229(4)∶487.
5. 　Franklin ME, Kazantsev GB, Abrego D, et al. Laparoscopic surgery for stage Ⅲ colon cancer: long-term follow-up [Ｊ]. Surg Endosc, 2000; 14(7)∶612.
6. 　Champault GG, Barrat C, Raselli R, et al. Laparoscopic versus open surgery for colorectal carcinoma: a prospective clinical trial involving 157 cases with a mean follow-up of 5 years [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2002; 12(2)∶88.
7. 　Lezoche E, Feliciotti F, Paganini AM, et al. Results of laparoscopic versus open resections for non-early rectal cancer in patients with a minimum follow-up of four years [Ｊ]. Hepatogastroenterology, 2002; 49(47)∶1185.
8. 　田文，李榮，陳凜. 結直腸癌腹腔鏡切除術對機體應激反應影響的臨床研究 [Ｊ]. 中國普外基礎與臨床雜志, 2004； 11（3）∶204.
9. 　Ortega AE, Beart RW Jr, Steele GD Jr, et al. Laparoscopic bowel surgery registry. Preliminary results [Ｊ]. Dis Colon Rectum, 1995; 38(7)∶681.
10. 　Hartley JE, Mehigan BJ, MacDonald AW, et al. Patterns of recurrence and survival after laparoscopic and conventional resections for colorectal carcinoma [Ｊ]. Ann Surg, 2000; 232(2)∶181.
11. 　Lacy AM, Garcia-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial [Ｊ]. Lancet, 2002; 359(9325)∶2224.
12. 　申占龍，王秋生，劉隆，等. 腹腔鏡輔助或手助結直腸癌根治術 [Ｊ]. 中國微創外科雜志， 2006; 6（7）∶513.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Surgical Techniques in Colon Carcinoma

Abstract Full text Figures/Tables Video References Cited by

Format

Content