Bokey E L, Moore J W, Keating J P, Zelas P, Chapuis P H, Newland R C
University of Sydney Department of Colon, Concord Hospital, New South Wales, Australia.
Br J Surg. 1997 Jun;84(6):822-5.
Laparoscopically-assisted resection for large bowel cancer is technically feasible. Sixty-six patients who had resection of the colon or rectum for cancer have been audited prospectively.
Clinical and pathological data were collected prospectively as part of the ongoing Concord Hospital colorectal cancer project. Patients were followed up for a median of 29 months.
In 57 of 66 patients in whom laparoscopic resection was attempted the operation was completed laparoscopically. Three patients died from perioperative myocardial infarction. The median postoperative stay was 14 days. There was a high incidence of postoperative respiratory and cardiac complications. One patient developed a port-site metastasis.
There was no obvious benefit from laparoscopically-assisted resection of large bowel cancer in these patients.
腹腔镜辅助下的大肠癌切除术在技术上是可行的。对66例因癌症接受结肠或直肠切除术的患者进行了前瞻性审核。
作为正在进行的协和医院结直肠癌项目的一部分，前瞻性收集临床和病理数据。对患者进行了中位时间为29个月的随访。
在66例尝试进行腹腔镜切除术的患者中，有57例通过腹腔镜完成了手术。3例患者死于围手术期心肌梗死。术后中位住院时间为14天。术后呼吸和心脏并发症的发生率较高。1例患者发生了切口种植转移。
在这些患者中，腹腔镜辅助下的大肠癌切除术没有明显益处。
