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  1. Prospective multicenter study of the quality of oncologic resections in patients undergoing laparoscopic colorectal surgery for cancer.

    Article, Communication - En anglais

    Annual Congress of the Society of the American Gastrointestinal Endoscopic Surgeons. San Diego, CA, USA, 1997/03/21.

    PURPOSE 

    Laparoscopic colorectal surgery for cancer is currently under discussion.

    Results of large, randomized studies will not be available for a number of years yet.

    This study analyses the results of such resections in consecutive patients operated on by unselected surgeons.

    METHODS 

    A prospective, observational, multicenter study was initiated on August 1,1995, in the German-speaking countries of Europe.

    One year after initiation of the study, findings are presented with respect to the quality of oncologic resections.

    RESULTS 

    Of 500 operations, 231 (46 percent) were performed for cancer, 167 (33 percent) with a curative intent.

    The most common curative resections were as follows : 63 anterior rectum resections (38 percent), 51 sigmoid resections (30 percent), and 27 abdominoperineal resections (16 percent).

    Segmental resections were performed in 20 patients (12 percent).

    Intraoperative tumor spillage was reported in 2 percent.

    Mean number of lymph nodes harvested was 13 (confidence interval, 5-95 percent ; range, 11.5-14.6) and positive lymph nodes harvested was 2.2 (confidence interval, 5-95 percent ; range, 0.9-3.4).

    Significant differences were noted between participating centers in terms of number of lymph nodes resected (P<0.0001).

    Distal and proximal resection margins were tumor-free in every case.

    Lateral margins were tumor-free when examined. (...)

    Mots-clés Pascal : Carcinome, Côlon, Rectum, Résection chirurgicale, Voie abord, Laparoscopie, Evaluation performance, Etude multicentrique, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Chirurgie, Endoscopie

    Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Surgical resection, Surgical approach, Laparoscopy, Performance evaluation, Multicenter study, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Surgery, Endoscopy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0432254

    Code Inist : 002B25G02. Création : 25/01/1999.