大腸癌に対するNo-touch Laparoscopic Anterior Resection

Autor: Makino, Harufumi, Okazumi, Shin-ichi, Miyazaki, Shin-ichi, Hayashi, Hideki, Miyauchi, Hideaki, Chiba, Satoshi, Mochizuki, Ryoyu, Shimizu, Takanori, Endo, Masato, Matsui, Yoshifumi, Sugamoto, Yuji, Ochiai, Takenori, Igarashi, Tatsuo
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: 千葉医学雑誌 = Chiba medical journal. 84(1):15-18
ISSN: 0303-5476
Popis: The port wound metastasis and distant metastasis may partly be caused by perioperative cancer-cell seeding. We report our technique for laparoscopic rectosigmoid colon resection using a medial approach as no-touch surgery. Twenty-three patients were carried out no-touch anterior resections using a laparoscopic medial approach. To prevent such spillage during colorectal surgery, we performed primary vascular pedicle ligation and occlusion of the distal colon and the mesocolon with Tetron-lined tape to provide dissection of the colon without tumor manipulation. Excellent postoperative outcome were observed in all patients. We believed that no-touch laparoscopic anterior resection for colorectal cancer can be performed safely and has beneficial effect on cancer recurrence. Long-term follow-up will be necessary to determine the effectiveness of this procedure for colorectal cancer.
Databáze: OpenAIRE