La chirurgie laparoscopique du cancer colo-rectal. A propos de 103 interventions [Laparoscopic surgery of colorectal cancer. Apropos of 103 interventions].

Détails

ID Serval
serval:BIB_86CAF3488A4F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
La chirurgie laparoscopique du cancer colo-rectal. A propos de 103 interventions [Laparoscopic surgery of colorectal cancer. Apropos of 103 interventions].
Périodique
Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
Auteur(s)
Hahnloser D., Chanson C.h., Nassiopoulos K., Wahl P., Petropoulos P.
ISSN
1023-9332 (Print)
ISSN-L
1023-9332
Statut éditorial
Publié
Date de publication
2002
Volume
8
Numéro
5
Pages
203-208
Langue
français
Notes
Publication types: English Abstract ; Evaluation Studies ; Journal ArticlePublication Status: ppublish
Résumé
PURPOSE: The aim of this study was to assess the feasibility and safety of laparoscopic surgery for the cure of colorectal cancer and to evaluate the oncologic follow-up.
METHODS: Between March 1993 and December 2000 103 patients with colorectal cancer were treated by laparoscopy. Surgical, pathologic and follow-up data were recorded in a prospective registry database and analyzed by type of resection.
RESULTS: A total of 42 women and 61 men with a mean age of 66.7 years underwent 9 right hemicolectomies, 6 left hemicolectomies, 35 sigmoidectomies, 41 low anterior resections and 12 abdominoperineal resections. Conversion was necessary in 14.5%. Postoperative complications occurred in 21 patients (20.3%) and decreased with experience. Hospital mortality was 0.9%. All cancers (31% stage UICCI, 28% stage II, 37% stage III et 3% stage IV) were resected with tumor-free margins and the mean number of lymph nodes was 19.6. Patients resumed solid diet on the second postoperative day and mean hospitalization was 12.6 days. Three port site recurrences, 4 local recurrences and 10 distant metastases occurred after a mean follow-up of 34.5 months (8-92).
CONCLUSION: Laparoscopic colorectal cancer surgery is technically feasible with acceptable morbidity and low mortality. An oncologic adequate resection can be performed. To determine whether the recurrence rates and the survival data are equivalent to open surgery, prospective randomized trials are necessary.
Mots-clé
Adult, Aged, Aged, 80 and over, Colectomy/methods, Colorectal Neoplasms/mortality, Colorectal Neoplasms/pathology, Feasibility Studies, Female, Humans, Laparoscopy/methods, Lymph Node Excision/methods, Lymphatic Metastasis, Male, Middle Aged, Neoplasm Staging, Postoperative Complications/etiology, Postoperative Complications/mortality, Prospective Studies, Survival Rate
Pubmed
Création de la notice
07/10/2014 14:45
Dernière modification de la notice
03/03/2018 19:00
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