Prospective comparison of laparoscopic and conventional anterior resection

作者: J. J. T. Tate , S. Kwok , J. W. Dawson , W. Y. Lau , A. K. C. Li

DOI: 10.1002/BJS.1800801113

关键词:

摘要: A prospeetive comparison of laparoscopically assisted (n=11) and conventional (n=14) anterior resection in patients with sigmoid colon or upper rectal cancer was carried out. Patients were not randomized: age the presence metastases determined type surgery. Laparoscopic assistance used to mobilize tumour minimize abdominal incision. This achieved all six 11 required only a muscle-splitting The mean(s.d.) operating time longer for laparoscopic than surgery (205(31) versus 123(26) min, P=0.01). reintroduction normal diet (2.5(0.2) 3.6(0.3) days, P=0.01), postoperative analgesia requirement (2.6(0.4) 7.4(2.1) doses pethidine, P=0.01) length hospital stay (12.3(3) 14.3(6) P=0.08) less group

参考文章(16)
Walter E. Sistrunk, Its Advantages And Dangers Annals of Surgery. ,vol. 88, pp. 597- 606 ,(1928) , 10.1097/00000658-192809000-00029
&NA;, Laparoscopic colectomy--the innovation continues. Annals of Surgery. ,vol. 216, pp. 701- 702 ,(1992) , 10.1097/00000658-199212000-00014
M. J. Greenall, Mary Evans, A. V. Pollock, Midline or transverse laparotomy? A random controlled clinical trial. Part II: Influence on postoperative pulmonary complications British Journal of Surgery. ,vol. 67, pp. 191- 194 ,(1980) , 10.1002/BJS.1800670309
T. J. Saclarides, S. T. Ko, M. Airan, C. Dillon, J. Franklin, Laparoscopic removal of a large colonic lipoma. Report of a case. Diseases of The Colon & Rectum. ,vol. 34, pp. 1027- 1029 ,(1991) , 10.1007/BF02049970
Lionel Bueno, Jean-Pierre Ferre, Yves Ruckebusch, Effects of anesthesia and surgical procedures on intestinal myoelectric activity in rats. Digestive Diseases and Sciences. ,vol. 23, pp. 690- 695 ,(1978) , 10.1007/BF01072353
J.S. Barkun, J.S. Sampalls, G. Fried, M.J. Wexler, J.L. Meakins, B. Taylor, A.N. Barkun, C.A. Goresky, A.N. Barkun, J.S. Sampalis, The McGille Gallstone Treatment Group, Randomised controlled trial of laparoscopic versus mini cholecystectomy The Lancet. ,vol. 340, pp. 1116- 1119 ,(1992) , 10.1016/0140-6736(92)93148-G
M. Rubbini, G. F. Vettorello, C. Guerrera, C. Mari, D. De Anna, F. Mascoli, E. Pozza, V. Gasbarro, I. Donini, A prospective study of local recurrence after resection and low stapled anastomosis in 183 patients with rectal cancer Diseases of the Colon & Rectum. ,vol. 33, pp. 117- 121 ,(1990) , 10.1007/BF02055539
Richard T. Schlinkert, Laparoscopic-assisted right hemicolectomy. Diseases of The Colon & Rectum. ,vol. 34, pp. 1030- 1031 ,(1991) , 10.1007/BF02049971