Wasserberg Nir
Department of Surgery, Rabin Medical Center, Petah Tikva, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.
Isr Med Assoc J. 2010 Sep;12(9):572-6.
The laparoscopic approach to the treatment of colon and rectal cancer remains controversial long after it was accepted for benign conditions. Laparoscopic cancer resection should meet appropriate oncologic standards and achieve a long-term oncologic outcome at least equivalent to that of open resection. Several international randomized controlled trials have provided adequate data to ascertain the oncologic quality of laparoscopic colon resection, showing a benefit in short-term outcome over open resection. The use of laparoscopic resection for rectal cancer is awaiting further investigation.
腹腔镜治疗结肠癌和直肠癌的方法在被用于良性疾病很久之后,仍然存在争议。腹腔镜癌症切除术应符合适当的肿瘤学标准,并实现至少与开放切除术相当的长期肿瘤学效果。几项国际随机对照试验已经提供了足够的数据来确定腹腔镜结肠切除术的肿瘤学质量,显示出在短期效果上优于开放切除术。腹腔镜切除术用于直肠癌仍有待进一步研究。