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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 292 - 298 (7page)
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초록· 키워드
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Purpose: This study compared the perioperative clinical outcomes of reduced-port laparoscopic surgery (RPLS) with those of conventional multiport laparoscopic surgery (MPLS) for patients with sigmoid colon cancer and investigated the safety and feasibility of RPLS performed by 1 surgeon and 1 camera operator. Methods: From the beginning of 2010 until the end of 2014, 605 patients underwent a colectomy for sigmoid colon cancer. We compared the characteristics, postoperative outcomes, and pathologic results for the patients who underwent RPLS and for the patients who underwent MPLS. We also compared the clinical outcomes of single-incision laparoscopic surgery (SILS) and 3-port laparoscopic surgery. Results: Of the 115 patients in the RPLS group, 59 underwent SILS and 56 underwent 3-port laparoscopic surgery. The MPLS group included 490 patients. The RPLS group had shorter operating time (137.4 ± 43.2 minutes vs. 155.5 ± 47.9 minutes, P < 0.001) and shorter incision length (5.3 ± 2.2 cm vs. 7.8 ± 1.2 cm, P < 0.001) than the MPLS group. In analyses of SILS and 3-port laparoscopic surgery, the SILS group showed younger age, longer operating time, and shorter incision length than the 3-port surgery group and exhibited a more advanced T stage, more lymphatic invasion, and larger tumor size. Conclusion: RPLS performed by 1 surgeon and 1 camera operator appears to be a feasible and safe surgical option for the treatment of patients with sigmoid colon cancer, showing comparable clinical outcomes with shorter operation time and shorter incision length than MPLS. SILS can be applied to patients with favorable tumor characteristics.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Guillou PJ / 2005 / Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial / Lancet 365:1718~1726
Lacy AM / 2002 / Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial / Lancet 359:2224~2229
Neudecker J / 2009 / Short-term outcomes from a prospective randomized trial comparing laparoscopic and open surgery for colorectal cancer / Br J Surg 96:1458~1467
Bresadola F / 1999 / Elective transumbilical compared with standard laparoscopic cholecystectomy / Eur J Surg 165:29~34
Piskun G / 1999 / Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus / J Laparoendosc Adv Surg Tech A 9:361~364
Lacy AM / 2002 / Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial / Lancet 359:2224~2229
Neudecker J / 2009 / Short-term outcomes from a prospective randomized trial comparing laparoscopic and open surgery for colorectal cancer / Br J Surg 96:1458~1467
Bresadola F / 1999 / Elective transumbilical compared with standard laparoscopic cholecystectomy / Eur J Surg 165:29~34
Piskun G / 1999 / Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus / J Laparoendosc Adv Surg Tech A 9:361~364
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