Proposed phase III trial comparing laparoscopic-assisted colectomy versus open colectomy for colon cancer.

摘要: Despite many important medical advances, surgery remains the primary treatment modality for most of 109,000 individuals who are newly diagnosed with colon cancer each year. Surgery not only provides extirpation tumor that relieves symptoms and prevents complications but also staging information. Although oncologic results from open colectomy well established, these traditional resective techniques challenged by introduction minimal-access surgery. Laparoscopic cholecystectomy, which shortens postoperative recovery decreases disabilities cost, has become preferred surgical approach to cholelithiasis. Many propose may offer similar advantages. Laparoscopic-assisted segmental resections can be performed using laparoscopic ligate vasculature mobilize exteriorize bowel extracorporal resect anastomose bowel. Collective preliminary data a consortium experienced surgeons support laparoscopic-assisted is safe, feasible, reduces times disabilities. Since differences between have been rigorously tested, concern raised regarding adequacy this technique treating cancer, prospective randomized multi-institutional trial proposed. The aim such will test hypothesis disease-free survival overall equivalent, regardless whether patients receive or colectomy. secondary determine safety compared colectomy.(ABSTRACT TRUNCATED AT 250 WORDS)