Indikationen zur laparoskopischen Kolonresektion--auch beim Karzinom [Indications for laparoscopic colorectal resections--also for cancers?].

Details

Serval ID
serval:BIB_ED36A432BCCD
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Indikationen zur laparoskopischen Kolonresektion--auch beim Karzinom [Indications for laparoscopic colorectal resections--also for cancers?].
Journal
Therapeutische Umschau. Revue Thérapeutique
Author(s)
Nocito A., Hahnloser D.
ISSN
0040-5930 (Print)
ISSN-L
0040-5930
Publication state
Published
Issued date
2005
Volume
62
Number
2
Pages
119-126
Language
german
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article ; ReviewPublication Status: ppublish
Abstract
In the last decade, laparoscopy has dramatically changed colonic surgery. Laparoscopic procedures are applied to the treatment of almost all colonic diseases, including both benign and malignant lesions. Significant benefits can be expected with a laparoscopic approach relative to decreased pain, ileus, length of hospital stay, disability, and possibly, adhesion formation and subsequent bowel obstruction, and improved cosmesis. However, all those benefits are secondary in the treatment of cancer; tumor-free survival must be the primary goal. Early comparative studies have shown that laparoscopic colectomy for cancer is safe, feasible, and an oncologic adequate resection can be performed with acceptable operative times and conversion rates. The most recent results of prospective randomized trials are now showing similar survival and cure rates after laparoscopic colectomy. There is evidence that laparoscopic colectomy for curable cancer results in equivalent cancer related survival compared to open colectomy when performed by experienced surgeons. The surgical techniques are demanding and require a level of standardization to achieve success. Laparoscopic colorectal surgery for cancer will have a definite role in the future.
Keywords
Adenomatous Polyposis Coli/surgery, Colectomy/methods, Colitis, Ulcerative/surgery, Colonic Diseases/surgery, Colorectal Neoplasms/mortality, Colorectal Neoplasms/surgery, Crohn Disease/surgery, Disease-Free Survival, Diverticulitis/surgery, Female, Forecasting, Humans, Laparoscopy, Length of Stay, Male, Postoperative Complications, Prospective Studies, Randomized Controlled Trials as Topic, Rectal Diseases/surgery, Sigmoid Diseases/surgery
Pubmed
Create date
06/10/2014 10:41
Last modification date
20/08/2019 17:15
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