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[结直肠癌]

[Colorectal cancer].

作者信息

Kawamura Yutaka, Konishi Fumio

机构信息

Dept. of Surgery, Omiya Medical Center, Jichi Medical School, Saitama, Japan.

出版信息

Gan To Kagaku Ryoho. 2004 Oct;31(10):1485-8.

Abstract

Laparoscopic surgery for the cure of colorectal cancer has been a controversial issue. In this article summarizes the surgical procedures for right-and left-sided colon cancer as well as the results of randomized controlled trials (RCTs) while comparing the long-term results of laparoscopic and open surgery. The RCTs revealed no significant differences in overall survival rate between laparoscopic and open procedures. In future, laparoscopic surgery will be a standard operation for a certain group of patients with colorectal cancer. Adequate skills of the surgical team and appropriate patient selection are essential.

摘要

腹腔镜手术治疗结直肠癌一直是一个有争议的问题。本文总结了右半结肠癌和左半结肠癌的手术方法以及随机对照试验(RCT)的结果,同时比较了腹腔镜手术和开放手术的长期效果。随机对照试验显示,腹腔镜手术和开放手术在总生存率方面没有显著差异。未来,腹腔镜手术将成为特定组结直肠癌患者的标准手术方式。手术团队具备足够的技能和合适的患者选择至关重要。

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