Use of minilaparotomy in the treatment of colonic cancer

Author:

Nakagoe T1,Sawai T1,Tsuji T1,Ayabe H1

Affiliation:

1. First Department of Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan

Abstract

Abstract Background The feasibility and safety of a minilaparotomy approach for curative resection of colonic cancer have not been fully elucidated. The purpose of this study was to compare outcomes utilizing this alternative technique with those of conventional laparotomy. Methods Eighty-four patients scheduled to undergo resection for colonic cancer via minilaparotomy between 1997 and 1999 were studied prospectively. The minilaparotomy involved complete resection performed through a skin incision less than 7 cm in length. Sixty-nine patients who underwent a similar resection via a conventional laparotomy between 1994 and 1996 served as the control group. Results The minilaparotomy approach was successful in 72 of 84 patients. Colectomy type, operating time and histopathological features of tumours were similar between cases and controls, whereas operative blood loss in the control group was significantly greater (P = 0·002). Postoperative times to standing, walking, passage of flatus and urinary catheter removal were significantly shorter in the minilaparotomy group (P = 0·007, P = 0·003, P = 0·03 and P = 0·006 respectively), and analgesic requirements were significantly lower (P = 0·001). At a median follow-up of 24·8 months there have been no tumour recurrences at the minilaparotomy incision sites. Conclusion A minilaparotomy approach to the curative resection of colonic cancer is an attractive alternative to conventional laparotomy in selected patients.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference19 articles.

1. Laparoscopically assisted colon resections compare favorably with open technique;Van;Surg Laparosc Endosc,1994

2. Laparoscopic colectomy: status of the art;Beart;Dis Colon Rectum,1994

3. The learning curve for laparoscopic colorectal surgery. Preliminary results from a prospective analysis of 1194 laparoscopic-assisted colectomies;Bennett;Arch Surg,1997

4. Laparoscopic colectomy;Fielding;Surg Endosc,1997

5. Laparoscopic colectomy for colon cancer: trial update;Stocchi;J Surg Oncol,1998

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3