Laparoscopic surgery for the cure of colorectal cancer: results of a German five-center study.

摘要: PURPOSE: The aim of this study was to assess the feasibility and safety laparoscopic surgery for cure colorectal cancer with emphasis on oncologic follow-up in particular. METHODS: A performed patients treated by laparoscopy five German centers between May 1991 September 1997. Surgical pathologic data were recorded an anonymous registry database analyzed type resection. Standard procedures sigmoid or left colectomy, anterior resection, abdominoperineal right hemicolectomy. Follow-up information included incidence local, distant, port site recurrence cancer-related death. RESULTS: total 399 (212 females) a mean age 66.6 years underwent curative resections (sigmoid 89; 11; 157; 102; hemicolectomy, 40). Conversion necessary 6.3 percent (n=25). Complications requiring reoperation occurred 9 (n=35). that conservatively 27.6 (n=110). Thirty-day mortality 1.8 (n=7). First bowel movements resumed third postoperative day; did not use analgesics after days. Mean hospitalization two weeks. According International Union Against Cancer classification, 147 had Stage I cancer, 35 II 217 resection III cancer. number lymph nodes resected 12.1. At 30 months, one documented. No local observed Of patients, 6 (Stage II, 2; III, 4), distant metastases documented 25 I, 3; 19). highest death (4.9 percent). CONCLUSION: To role objectively, prospective randomized trials are necessary.