Meeting of The American Society of Colon and Rectal Surgeons. Seattle, Washington USA, 1996/06/09.
Laparoscopy for colonic diseases began in 1990 and has established a role in benign disease.
Early observations and experiences demonstrated feasibility of laparoscopic surgery for a variety of colonic disease processes, but the applicability to colonic carcinoma was unclear.
In 1990, we began a comparative study of open (OCR) vs. laparoscopic (LCR) approach to colon cancer.
The study progressed 65 months, with 224 patients in OCR group and 191 patients in LCR group.
Parameters studied are stage, location, length of specimen, number of lymph nodes resected, margins, postoperative course, wound complications, recurrence rates, and immediate and long-term survival.
OCR were standardized by one group, and LCR were standardized by a second group.
All patients undergoing LCR were given freedom to choose either OCR or LCR, and informed consent was obtained.
Equal or greater lymph node retrieval, resections, and distal margins were evident with LCR.
Benefits with LCR were shown with shorter hospitalization (5.7 vs. 9.7 days), less blood loss, less wound problems (1 vs. 14), and quicker return of bowel function.
Survival, recurrence, and death rates were essentially the same.
There were no trocar implants in the LCR group. (...)
Mots-clés Pascal : Carcinome, Côlon, Traitement, Résection chirurgicale, Laparoscopie, Etude comparative, Foyer ouvert, Etude statistique, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Chirurgie
Mots-clés Pascal anglais : Carcinoma, Colon, Treatment, Surgical resection, Laparoscopy, Comparative study, Open fireplace, Statistical study, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0483769
Code Inist : 002B25G02. Création : 10/04/1997.