Laparoscopic Surgery for Early Colon Cancer.

概要

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Laparoscopic cholecystectomy has now become widely accepted, and because of its many benefits, a number of other gastrointestinal operations are now being performed laparoscopically. We have successfully perfomed laparoscopic curative recection in 23 patients with early colon cancer (22 with flat elevated lesion). This paper presents our procedures and the indications for laparoscopic surgery of early colon cancer.<BR>The chief indication for laparoscpic local excision and laparoscopy assisted local excision is mucosal cancer (m cancer) which cannot be removed endoscopically. Ehe chief indication for laparoscopy assisted partial resection and laparoscopic aanterior resection is differentiated adenocarcinoma limited to the submucosa (sm cancer).<BR>It is possible to examine the resected specimens in more detail when compared to those removed by endoscopy. The patients could drink on postoperative day 1 and were discharged within 7 days. Our experience suggests that laparoscopic colonic surgery is potentially useful for early colon cancer.
日本大腸肛門病学会の論文