Konishi F, Kojima M, Hoshino T, Kanzaki M
Department of Surgery Omiya, Medical Center of Jichi Medical School, Japan.
Nihon Geka Gakkai Zasshi. 2000 Aug;101(8):546-9.
Laparoscopic-assisted colectomy is considered to be a less invasive technique, and patients experience less pain and more rapid postoperative recovery. This operation has been indicated for large sessile adenomas or for early invasive carcinomas in Japan. The indications for this procedure in more advanced colorectal carcinomas is controversial. However, based on our experience with 130 cases, laparoscopic-assisted colectomy can be as curative as open colectomy provided that the patients are properly selected. In this review, the technical difficulties of this procedure are also discussed.
腹腔镜辅助结肠切除术被认为是一种侵入性较小的技术，患者疼痛较轻，术后恢复更快。在日本，该手术适用于大型广基腺瘤或早期浸润性癌。对于更晚期的结直肠癌，该手术的适应证存在争议。然而，根据我们130例病例的经验，只要患者选择得当，腹腔镜辅助结肠切除术的疗效可与开腹结肠切除术相当。在本综述中，还讨论了该手术的技术难点。
