Nozaki Isao, Kubo Yoshirou, Kurita Akira, Ohta Kouji, Aogi Kenjirou, Tanada Minoru, Takashima Shigemitsu
Department of Surgery, Shikoku Cancer Center, Matsuyama, Japan.
Hepatogastroenterology. 2008 May-Jun;55(84):943-6.
BACKGROUND/AIMS: Laparoscopic colectomy has been widely accepted as a standard operation for colorectal cancer. The use of this procedure for patients with previous abdominal surgery is now well established. The aim of this study was to evaluate the peri-operative and long-term outcomes of such patients, and to compare them to patients without previous surgery.
Data on a consecutive 121 cases of laparoscopic colectomy performed for colorectal cancer from 1995-1999 in Shikoku Cancer Center were analyzed retrospectively for peri-operative and long-term outcomes.
Twenty one cases (17%) of laparoscopic colectomy were performed for colorectal cancer patients with previous surgery. Although the operation time for the previous surgery group was significantly longer than that of the control group, there was no significant difference in the peri-operative complications and the overall survival between the 2 groups.
Although the previous abdominal surgery increases the time it takes to perform the laparoscopic colectomy, the peri-operative and long-term outcomes were comparable to those from patients without previous surgery.
背景/目的：腹腔镜结肠切除术已被广泛接受为结直肠癌的标准手术。目前，该手术在曾接受过腹部手术的患者中的应用已得到充分确立。本研究的目的是评估此类患者的围手术期和长期结局，并将其与未接受过手术的患者进行比较。
对1995年至1999年在四国癌症中心连续进行的121例因结直肠癌行腹腔镜结肠切除术的患者的数据进行回顾性分析，以评估围手术期和长期结局。
21例（17%）腹腔镜结肠切除术是为曾接受过手术的结直肠癌患者进行的。虽然曾接受过手术组的手术时间明显长于对照组，但两组在围手术期并发症和总生存率方面无显著差异。
虽然既往腹部手术会增加腹腔镜结肠切除术的手术时间，但围手术期和长期结局与未接受过手术的患者相当。
