大腸進行癌に対する腹腔鏡下大腸切除術の適応と手技-リンパ節郭清の問題点-

概要

論文の詳細を見る
Laparoscopic-assisted colectomy for colon cancer has been tried for the past 7-8 years in Western countries. In Japan, this procedure has been used since about 5 years ago. In this country, the indication for laparoscopic-assisted colectomy has been either colonic adenomas or carcinomas in early stage which are not suitable for colonoscopic removal. The application of this procedure to more advanced carcinomas with invasion in the muscularis propria or invasion penetrating the muscularis propria is controversial. This is because of the technical difficulties involved in lymphnode dissection, which is the usual procedure for these invasive carcinomas in open laparotomy. Laparoscopic-assisted colectomy and lymphnode dissection have been done in 29 cases of advanced colorectal carcinoma. In this study, the technical aspect of lymphnode dissection in the laparoscopic procedure was presented, and it was considered that this procedure is a curative surgery for advanced colorectal carcinoma, provided that the surgeon is technically well experienced and the patient is properly selected.
日本大腸肛門病学会の論文
1997-10-01