Watanabe M, Hasegawa H, Yamamoto S, Baba H, Kitajima M
Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan.
Surg Endosc. 2003 Aug;17(8):1274-7. doi: 10.1007/s00464-002-8822-x. Epub 2003 Jun 13.
This study analyzed the short- and long-term outcomes of laparoscopic surgery (LS) in patients with stage I colorectal cancer.
A total of 130 patients with stage I colorectal cancer underwent LS between 1992 and 1999. Median follow-up was 61 months (range, 30-114).
Oral intake was started on median postoperative day 1, and the median postoperative hospital stay was 8 days. Postoperative complications included wound sepsis in eight patients (6.2%), anastomotic leakage in four patients (3.1%), and bowel obstruction in three patients (2.3%). Five patients developed recurrences. No port site recurrences were observed. The calculated 5-year survival rate was 97.9%.
LS was shown to be technically feasible and oncologically sound for the treatment of patients with stage I colorectal cancer, and favorable short- and long-term outcomes were obtained.
本研究分析了I期结直肠癌患者腹腔镜手术（LS）的短期和长期结局。
1992年至1999年间，共有130例I期结直肠癌患者接受了LS。中位随访时间为61个月（范围30 - 114个月）。
术后中位第1天开始经口进食，术后中位住院时间为8天。术后并发症包括8例伤口感染（6.2%）、4例吻合口漏（3.1%）和3例肠梗阻（2.3%）。5例出现复发。未观察到穿刺孔部位复发。计算得出的5年生存率为97.9%。
对于I期结直肠癌患者的治疗，LS在技术上是可行的，肿瘤学上是合理的，并获得了良好的短期和长期结局。
