Sato K, Adachi Y, Kitano S
First Department of Surgery, Oita Medical University, Oita, Japan.
Nihon Geka Gakkai Zasshi. 2001 Feb;102(2):236-42.
Laparoscopic colorectal surgery was introduced in 1991 and has been performed around the world. We review the English literature on this technique, including reports of case series, case-control studies, and randomized controlled trials. These reports show that laparoscopic surgery for colorectal cancer is safe and useful and that the short-term results of this technique are acceptable and satisfactory. Port-site metastasis is rare in the more recent experience of skilled laparoscopic surgeons, and the survival rates of patients after laparoscopic surgery are comparable to those after conventional open procedures. In the near future, long-term results, including 5-year survival rates, will be clarified in randomized controlled trials comparing laparoscopic and open resections of colorectal cancer.
腹腔镜结直肠手术于1991年被引入并已在全球开展。我们回顾了关于该技术的英文文献,包括病例系列报告、病例对照研究和随机对照试验。这些报告表明,腹腔镜结直肠癌手术是安全且有用的,该技术的短期结果是可接受且令人满意的。在经验丰富的腹腔镜外科医生的最新经验中,穿刺孔转移很少见,腹腔镜手术后患者的生存率与传统开放手术相当。在不久的将来,比较腹腔镜和开放结直肠癌切除术的随机对照试验将明确包括5年生存率在内的长期结果。