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相關文獻
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頁籤選單縮合
題名 | Laparoscopic Resection of Colorectal Cancer=腹腔鏡大腸直腸癌切除手術 |
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作者 | 陳自諒; 陳宏彰; 邱建銘; 賴燕君; 許格豪; 黃燈明; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 33:5 民89.09-10 |
頁次 | 頁215-222 |
分類號 | 416.245 |
關鍵詞 | 大腸直腸癌; 腹腔鏡手術; Laparoscopy; Colorectal cancer; Conventional surgery; Oncologic clearance; |
語文 | 英文(English) |
中文摘要 | 腹腔鏡手術使用在大腸直腸良性疾病切除已被廣泛接受,然而應用在大腸直腸癌的切除仍有許多爭議。目前已有許多研究報告指出腹腔鏡大腸直腸切除確實有其優點,但是比較腹腔鏡與傳統手術間的報告卻十分稀少。此研究是前瞻性,但非隨機性的比較兩種不同手術方式的初期預後,將69位接受大腸直腸癌手術的病人分為三組,第一組為腹腔鏡手術(19人),第二組為傳統手術(42人)及第三組轉換手術(8人)。結果顯示,在對於術後的腸道功能恢復開始進食時間和疼痛程度方面,腹腔鏡手術方式有較佳的結果;在腫瘤根除手術後,病理學上的淋巴結摘除數目之比較上兩者間則無明顯差異。 所以我們認為腹腔鏡大腸直腸手術運用在癌症的治療是合宜且安全的。但是在治癒率及存活率上是否較傳統手術方式為佳,則需再進一步前瞻性及隨機性的研究才能證明。 |
英文摘要 | Laparoscopic resection of benign colorectal diseases is well accepted, but resection of colorectal cancer using laparoscopy is controversial. Many anecdotal reports and retrospective series of laparoscopic colorectal resection favored laparoscopic colorectal surgery, however, comparative study between laparoscopic and conventional surgery studies are rare. This is a prospective, but not randomized study which, compares the short-term outcome of laparoscopic and conventional surgery in patients operated by two colorectal surgeons. There were 69 patients who received elective colorectal cancer resection and were divided into three groups, the laparoscopic group, open group, and converted group. When compared, the immediate postoperation results were better in the laparoscopic group. The oncological clearance of the lymph nodes removed was not different in three groups. We conclude that the use of laparoscopy in resection of colorectal cancer is feasible and safe, but to prove the superiority in oncological result, a prospective randomized trial should be conducted. |
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