Retrospective Comparison of Minilaparotomy ('moving window method') and Laparoscopic-assisted Approaches for Colon Cancer Resection

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概要

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• Aims: Outcome in minilaparotomy and laparoscopic-assisted approaches to colon cancer resection was compared retrospectively. Methods: The 'minilaparotomy approach', defined as a complete resection performed through a skin incision of 7cm or shorter ('moving window method'), was achieved in 47 patients with colon cancers (Tis/T1/T2/T3/T4) between 1997 and 1998 (minilaparotomy group). A laparoscopic-assisted approach was used in 30 patients with colon cancers (Tis/T1) between 1994 and 1996 (laparoscopic-assisted group). Results: Age, gender, prior laparotomy, tumor location, weight, height, body mass index, operation time, blood loss, and type of colectomies and anastomosis were similar in both groups. Median incision lengths in the minilaparotomy group were longer than in the laparoscopic-assisted group (7.0 versus 6.0cm). Maximal tumor diameter, number of lymph nodes removed, and proximal and distal margins in the minilaparotomy group were larger than in the laparoscopicassisted group. The minilaparotomy group had more advanced staged tumors; however, times until initial walking, flatus, fluid and solid food, time with urinary catheter, analgesic usage, postoperative hospital stay, and postoperative complication frequencies were similar. In neither group was there tumor recurrence at the laparotomy wound or port sites. Conclusion: Minilaparotomy and laparoscopic-assisted approaches to colon cancer resection were similar in terms of early return of function and discharge.

• 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

• 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

• 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

• 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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