A New Device That Protects from Minilaparotomy Wound Infection in Minimally-Invasive Approaches to Colon Cancer

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概要

• 論文の詳細を見る

• Background: Unfortunate complications in some patients who undergo minimally-invasive resections for colorectal cancer using a minilaparotomy are the development of postoperative wound infection or tumor recurrence at in the minilaparotomy site. These complications are potentially avoidable. In an effort to prevent these problems, we designed an easy-to-use device named the Lap-Protector TM. The purpose of this study was to evaluate the efficacy of the Lap-Protector TM in preventing bacterial infection and tumor recurrence at minilaparotomy incision sites. Patients and Methods: Ninety-eight colon cancer patients who underwent minimally-invasive resections using minilaparotomy (minilaparotomy or laparoscopic-assisted approach) with the assistance of the Lap-Protector TM between January 1999 and August 2000 were compared with 87 patients treated without this device between January 1997 and December 1998. Postoperative wound infection and tumor recurrence rates at the minilaparotomy site were retrospectively analyzed. Results: Patient characteristics (age, sex, body mass index, and frequency of diabetes mellitus), tumor location, operative procedures, and pathological parameters were similar between the two groups. Four patients (4.6%) in the control group developed postoperative wound infections versus none in the Lap-Protector TM group (P=0.047). With a median follow-up of 8.3 (range, 1.3 to 19.3) and 29.7 (range, 8.4 to 54.4) months in the Lap-Protector TM group and control group, respectively, neither group has recorded a tumor recurrence at the minilaparotomy site. Conclusion: The Lap-Protector TM appears to prevent wound infection after minimally-invasive resections for colon cancer using a minilaparotomy. Longer follow-up to evaluate tumor recurrence rates at the minilaparotomy site is necessary.

• 長崎大学の論文

著者

• Tsuji T

  長崎大学 医学部第二内科

• Nagayasu Takeshi

  長崎大学 大学院腫瘍外科

• Yamaguchi H

  Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu

• Yamaguchi Hiroyuki

  長崎大学 医歯薬総研究腫瘍外科学

• Tagawa Y

  Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica

• Yasutake Toru

  長崎大学 医歯薬学総合研究科腫瘍外科学

• TSUJI Takashi

  Department of Industrial Science and Technology, Science University of Tokyo

• Tamaru Naoe

  Department Of Pathology Nagasaki University Hospital

• 辻 孝

  Hokkaido Univ. Sapporo Jpn

• Nakagoe Tohru

  First Department Of Surgery Nagasaki University School Of Medicine

• AYABE HIROYOSHI

  First Department of Surgery, Nagasaki University School of Medicine

• Sawai T

  Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu

• Sawai Terumitsu

  First Department Of Surgery Nagasaki University School Of Medicine

• SAWAI TERUMITSU

  Department of Translational Medical Sciences, Division of Surgical Oncology, Nagaski University Grad

• JIBIKI Masaaki

  The First Department of Surgery, Nagasaki University School of Medicine

• SHIMOMURA KAZUYUKI

  Department of Surgery, Saitama Medical Center, Saitama Medical School

• Tsuji Takashi

  Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica

• Ishikawa Hidemasa

  The Department Of Internal Medicine Ii Fukushima Medical University School Of Medicine

• Nakashima Atsushi

  Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu

• Yano Hiroshi

  Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica

• Tsuji Takashi

  Department Of Biological Science And Technology Faculty Of Industrial Science And Technology Tokyo U

• Jibiki Masaaki

  The First Department Of Surgery Nagasaki University School Of Medicine

• Ayabe Hiroyoshi

  First Department Of Surgery Nagasaki University School Of Medicine

• Ayabe Hiroyoshi

  The First Department Of Surgery Nagasaki University School Of Medicine

• Ayzbe Hiroyoshi

  First Department Of Surgery Nagasaki University School Of Medicine

• Nakamura Akihiro

  Division Of Surgical Oncology Nagasaki University Graduate School Of Biomedical Sciences

• Nagayasu Takeshi

  Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica

• Ishikawa Hiroshi

  Department Of Surgery Sasebo Municipal Hospital

• Ayabe Hiroyoshi

  Department Of First Surgery Nagasaki University School Of Medicine

• Tsuchiya Tomoshi

  Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica

• Yano Hiroshi

  Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica

• Nagayasu Takeshi

  長崎大学 大学院医歯薬学総合研究科腫瘍外科第1外科

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