Szold A, Zamir O, Eimerl D, Keret D, Deutsch I, Freund H R
Dept. of Surgery, Hadassah-University Hospital, Mount Scopus, Jerusalem.
Harefuah. 1995 May 1;128(9):537-9, 599.
We present our initial experience with laparoscopic colonic resection in 15 patients: adenocarcinoma of the colon, 10 cases, giant villous adenoma (2), arteriovenous malformation (2), and a case of benign stricture. Mean operating time was 190 minutes and there were no intraoperative complications. The margins of resection and number of resected lymph nodes in patients with malignancy were comparable to those in the conventionally operated. Mean postoperative hospital stay was 6.1 days. During a maximum follow-up of 15 months there were no wound or trocar-site recurrences. We conclude that laparoscopic colonic resection is technically feasible and safe. However, its use for treating malignant diseases of the colon needs further study.
我们介绍了对15例患者进行腹腔镜结肠切除术的初步经验:结肠癌10例、巨大绒毛状腺瘤2例、动静脉畸形2例以及1例良性狭窄。平均手术时间为190分钟,无术中并发症。恶性肿瘤患者的切除切缘和切除淋巴结数量与传统手术患者相当。术后平均住院时间为6.1天。在最长15个月的随访期间,无伤口或套管针穿刺部位复发。我们得出结论,腹腔镜结肠切除术在技术上是可行且安全的。然而,其用于治疗结肠恶性疾病仍需进一步研究。