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首页> 外文期刊>International journal of colorectal disease. >Short-term outcomes following laparoscopic resection for colon cancer.
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Short-term outcomes following laparoscopic resection for colon cancer.

机译：腹腔镜切除结肠癌后的短期结果。

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BACKGROUND: Laparoscopic resection for colon cancer has been proven to have a similar oncological efficacy compared to open resection. Despite this, it is performed by a minority of colorectal surgeons. The aim of our study was to evaluate the short-term clinical, oncological and survival outcomes in all patients undergoing laparoscopic resection for colon cancer. METHODS: From July 2005 to December 2008, 202 consecutive patients underwent laparoscopic resection for colon cancer. Surgery was analysed on an intention to treat basis. The mean follow-up was 24.3 months. RESULTS: Two hundred twenty-two patients underwent resection for colon cancer. Two hundred two underwent laparoscopic resection (91%). One hundred sixteen were male patients. Mean age was 65.9 years (range = 24-91). The median length of stay was 6.6 days (mean = 7.1 days). One hundred eighty-eight of 202 (93.1%) were completed laparoscopically. Fourteen (6.9%) were converted. The overall morbidity rate was 15.8%. There were three clinically apparent anastomotic leaks. The 30-day mortality was 1 (0.5%). The mean nodal yield was 13.4 (range = 8-37) nodes. There were no positive margins detected. Overall survival in laparoscopically treated colon cancer was 88.1%. In those patients with non-metastatic disease, the overall survival was 90.7% (165/182). CONCLUSION: Laparoscopic resection for colon cancer is achievable in 85% (188/222) of patients. This facilitates adequate oncological clearance. It is associated with a low morbidity rate and favourable short-term survival outcomes. This data reflects the potential outcomes dedicated MIS colorectal units will have to offer colon cancer patients once laparoscopic colorectal surgery becomes the de facto surgical approach.
机译：背景：腹腔镜结肠癌切除术已被证明与开放性切除术相比具有相似的肿瘤学疗效。尽管如此，它还是由少数结直肠外科医师进行的。我们研究的目的是评估所有接受腹腔镜切除结肠癌的患者的短期临床，肿瘤学和生存结果。方法：自2005年7月至2008年12月，连续202例患者接受了腹腔镜结肠癌切除术。手术是根据治疗意图进行分析的。平均随访24.3个月。结果：222例患者因结肠癌接受了切除术。 202例行腹腔镜切除术（91％）。 116名男性患者。平均年龄为65.9岁（范围= 24-91）。中位住院时间为6.6天（平均= 7.1天）。腹腔镜检查完成了一百二十八例（93.1％）。十四（6.9％）被转换了。总体发病率为15.8％。临床上有3个明显的吻合口漏。 30天死亡率为1（0.5％）。平均节点产量为13.4个节点（范围= 8-37）。没有检测到正的边距。腹腔镜治疗的结肠癌的总生存率为88.1％。在那些非转移性疾病患者中，总生存率为90.7％（165/182）。结论：85％（188/222）的患者可以进行腹腔镜结肠癌切除术。这有助于充分的肿瘤清除。它与低发病率和有利的短期生存结果相关。这些数据反映出，一旦腹腔镜结直肠手术成为事实上的手术方法，专用MIS结直肠单位必须向结肠癌患者提供的潜在结果。

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