Prospective evaluation of laparoscopic-assisted colectomy in an unselected group of patients

作者: JOHN RT Monson , Ara Darzi , P Declan Carey , PJ Guillou

DOI: 10.1016/0140-6736(92)92694-B

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摘要: Laparoscopic technology is likely to have an increasing impact on surgical procedures that previously required open approach. We prospectively evaluated laparoscopic colectomy in 40 patients requiring elective colonic excision mainly for malignant disease. 33 of had a successfully completed colectomy, although there was one postoperative death. Seven operations were unsuccessful and conversion conventional laparotomy. Morbidity low with no wound infections only two chest the 32 survivors. Early mobilisation discharge from hospital (mean 8 days) notable feature. Previous abdominal surgery not absolute contraindication colectomy. However, inability palpate colon directly confirm site laparoscopically impalpable lesions leads us recommend contrast radiology location colonoscopically diagnosed before assisted Preliminary pathological assessment resected tumour specimens revealed satisfactory clearance. conclude feasible operation most substantial patient benefit without compromising chance cure cancer.

参考文章(7)
RONALD K. TOMPKINS, Laparoscopic Cholecystectomy Archives of Surgery. ,vol. 125, pp. 1245- 1245 ,(1990) , 10.1001/ARCHSURG.1990.01410220029002
LLOYD M. NYHUS, Laparoscopic Hernia Repair: A Point of View Archives of Surgery. ,vol. 127, pp. 137- 137 ,(1992) , 10.1001/ARCHSURG.1992.01420020019002
Richard T. Schlinkert, Laparoscopic-assisted right hemicolectomy. Diseases of The Colon & Rectum. ,vol. 34, pp. 1030- 1031 ,(1991) , 10.1007/BF02049971
Camran R. Nezhat, Matthew O. Burrell, Farr R. Nezhat, Benedict B. Benigno, Charles E. Welander, Laparoscopic radical hysterectomy with paraaortic and pelvic node dissection American Journal of Obstetrics and Gynecology. ,vol. 166, pp. 864- 865 ,(1992) , 10.1016/0002-9378(92)91351-A
Alfred Cuschieri, Sami Shimi, Lesley K. Nathanson, Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia American Journal of Surgery. ,vol. 163, pp. 425- 430 ,(1992) , 10.1016/0002-9610(92)90046-T
Namir Katkhouda, Jean Mouiel, A new technique of surgical treatment of chronic duodenal ulcer without laparotomy by videocoelioscopy The American Journal of Surgery. ,vol. 161, pp. 361- 364 ,(1991) , 10.1016/0002-9610(91)90598-8
John H McKessar, Graham W Paget, Laparoscopic repair of inguinal hernia. The Medical Journal of Australia. ,vol. 156, pp. 508- 508 ,(1992) , 10.5694/J.1326-5377.1992.TB126496.X