Champault G, Barrat C, Catheline J M, Rizk N, Buenos P
Hôpital Jean-Verdier-Service de Chirurgie, Université Paris XIII, Bondy.
J Chir (Paris). 1996 Sep;133(6):247-61.
Standard techniques for laparoscopic colectomy are currently well defined and are described here. Details are provided concerning facilities, equipment, and operative procedures for resection of the rectum, the left and right colons and total colectomy. Questions of indications are carefully addressed. Laparoscopic colectomy is an excellent indication for benign inflammatory as well as tumoral diseases. Inversely, there is some discussion concerning indications in colorectal cancer due to the risk of trocar tract metastasis. Based on data in the literature, the results of laparoscopic colectomy are analyzed together with the advantages of this technique in terms of mortality, morbidity, and hospitalization stay in comparison with conventional surgery.
目前，腹腔镜结肠切除术的标准技术已得到明确界定，在此予以介绍。文中详细说明了直肠、左半结肠、右半结肠及全结肠切除术的设施、设备和手术操作。对手术适应症问题进行了审慎探讨。腹腔镜结肠切除术对于良性炎症性疾病以及肿瘤性疾病而言是极佳的适应症。相反，由于存在套管针穿刺通道转移的风险，对于结直肠癌的适应症存在一些争议。基于文献数据，将腹腔镜结肠切除术的结果与该技术在死亡率、发病率及住院时间方面相较于传统手术的优势进行了分析。
