Indikationen zur laparoskopischen Kolonresektion--auch beim Karzinom [Indications for laparoscopic colorectal resections--also for cancers?].
Détails
ID Serval
serval:BIB_ED36A432BCCD
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Indikationen zur laparoskopischen Kolonresektion--auch beim Karzinom [Indications for laparoscopic colorectal resections--also for cancers?].
Périodique
Therapeutische Umschau. Revue Thérapeutique
ISSN
0040-5930 (Print)
ISSN-L
0040-5930
Statut éditorial
Publié
Date de publication
2005
Volume
62
Numéro
2
Pages
119-126
Langue
allemand
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article ; ReviewPublication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
06/10/2014 10:41
Dernière modification de la notice
16/03/2023 12:10