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首页> 外文期刊>Surgical Endoscopy >Feasibility of laparoscopic techniques as the surgical approach of choice for primary colorectal cancer: an analysis of 570 consecutive cases.
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Feasibility of laparoscopic techniques as the surgical approach of choice for primary colorectal cancer: an analysis of 570 consecutive cases.

机译：腹腔镜技术作为原发性大肠癌首选手术方法的可行性：570例连续病例的分析。

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BACKGROUND: Since the Clinical Outcomes of Surgical Therapy (COST) trial data were reported in May 2004, the laparoscopic technique for primary colorectal cancer has been increasingly used and become the approach of choice at our center. This study aimed to evaluate our laparoscopic experience of 570 consecutive patients between October 2000 and December 2006, and assess the feasibility of this technique as the surgical approach of choice for primary colorectal cancer. METHODS: The study times were divided into three periods based on the COST trial report and the time when the laparoscopic technique was accepted as the surgical approach of choice at our center (period I: October 2000 to May 2004, II: June 2004 to December 2005, III: January to December 2006). Data regarding clinicopathological, surgical, and perioperative outcomes were collated from registry and compared between periods. RESULTS: The use of laparoscopic surgery increased from 2.4% in period I, to 19.2% in period II, to 66.1% in period III. Over the periods, the proportion of rectal cancer and right colon cancer increased (p < 0.001), T- and N-stage became more advanced (p < 0.001, p = 0.011 respectively), and operative time decreased (p < 0.001). The overall open conversion and morbidity rates were 3.5% and 9.8%, respectively, and these did not differ between periods. CONCLUSION: It was possible to apply laparoscopic approach in two-thirds of primary colorectal cancer patients. The short-term favorable outcomes support the feasibility of laparoscopic technique as surgical approach of choice for colon cancer. Laparoscopic resection for rectal cancer may require a randomized clinical trial prior to gain similar acceptance.
机译：背景：自从2004年5月报道了外科治疗的临床结果（COST）试验数据以来，腹腔镜技术治疗原发性结直肠癌的方法越来越多，并成为我们中心的首选治疗方法。这项研究旨在评估我们在2000年10月至2006年12月之间连续570例患者的腹腔镜经验，并评估该技术作为原发性结直肠癌的首选手术方法的可行性。方法：根据COST试验报告和腹腔镜技术被选为我们中心选择的手术方法的时间，将研究时间分为三个时期（第一期：2000年10月至2004年5月，第二期：2004年6月至12月） 2005，III：2006年1月至2006年12月）。从登记处整理有关临床病理，手术和围手术期结果的数据，并在不同时期进行比较。结果：腹腔镜手术的使用率从第一阶段的2.4％增加到第二阶段的19.2％，第三阶段增加到66.1％。在此期间，直肠癌和右结肠癌的比例增加（p <0.001），T期和N期更晚期（p <0.001，p = 0.011），手术时间减少（p <0.001）。总体开放转化率和发病率分别为3.5％和9.8％，并且在不同时期之间没有差异。结论：有可能在三分之二的原发性结直肠癌患者中应用腹腔镜方法。短期的有利结果支持腹腔镜技术作为结肠癌手术方法的可行性。进行腹腔镜直肠癌切除术可能需要先进行一项随机临床试验，然后才能获得类似的接受。

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