[
Abstract]
[
Full Text PDF] （in Japanese / 2907KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 98(3): 380-384, 1997
Feature topic
PRESENT STATE AND PROBLEMS OF LAPAROSCOPIC SURGERY
FOR COLON AND RECTAL CARCINOMA
Laparoscopic surgery has been indicated as a choice of treatment for colon and rectal carcinoma in many institutes. However, indication and techniques of laparoscopic surgery have not been fixed probably because curability of laparoscopic surgery has not proved clear. D1 lymphadenactomy for early cancer is easy because only dissection of the mesenterium is necessary. But D2 and D3 lymphadenactomy is nnot popular because it needs the clearance of the root of main artery of the tulnor. We compared the postoperative recovery and curability of laparoscopic surgery with conventional laparotomy. Postoperative recovery was evidently earlier in laparoscopic surgery than in conventional operation. Curavility of the operation was similar among Iaparoscopic surgery and conventional operation.Thus laparoscopic surgery for colon and rectum can be indicated even in cases of advanced carcinoma. To spread laparoscopic surgery, post graduate education program is necessary to get consenses of indication and techniques of laparoscopic surgery.
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