Laparoscopic colon resection for colon cancer

被引:25
作者
Kieran, JA [1 ]
Curet, MJ [1 ]
机构
[1] Stanford Univ, Dept Surg, Stanford, CA 94305 USA
关键词
colectomy; laparoscopy; port site recurrence; systemic recurrence; neoplasm; lymph node harvest; margins;
D O I
10.1016/j.jss.2003.11.025
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction. Laparoscopic colon resection for cancer is as yet an unproven operation. This review article summarizes current data on the topic. Methods. A Medline review identified articles published since 1990 summarizing patients with potentially curable colon cancer who underwent a laparoscopic-assisted colon resection. Only articles that were randomized or had a control group with historical or matched open cases were used. Results. Very few prospective randomized controls exist. Several clinical trials are under way with one completed. Data thus far support some patient benefits with a laparoscopic approach. No differences in morbidity, oncologic data, or survival appear to exist. Conclusions. The results of ongoing clinical trials are still needed to further evaluate the role of laparoscopic assisted colon resection in patients with potentially curable colon cancer. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:79 / 91
页数:13
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