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KMID : 0978820020050010032
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2002 Volume.5 No. 1 p.32 ~ p.36
Laparoscopic Anterior Resection of Colorectal Tumor : Comparison with Open Anterior Resection
Àå¿ø¿µ/Weong Young Chang
À̿쿵/ÀüÈ£°æ/Woo Yong Lee/Ho Kyung Chun
Abstract
Purpose: The role of laparoscopic resection in the management of colorectal cancer is still unclear. The aim of this study was to compare perioperative results of patients treated by laparoscopic anterior resection versus open anterior
resection
for colorected tumor.
Method: From April 2000 to May 2002, thirty five laparoscopic anterior resection were performed for colorectal tomors at samsung medical center. Retrospective analysis was done with chart review and phone call. The were technical problems,
postoperative reocvery fastness and oncological righteousness.
Results: There was one conversion to open surgery due to adhesion by previous hysterectomy. The mean operative time for laparoscopic surgery was significantly longer than the time for open surgery (153.7 vs 83.2 min p=0.004). No
statistically
significantly difference were observed between the two groups in terms of the passage of flatus, first defecation, post-operative stay, length of resection margin, the size of tumor, morbidity, and the unmbers of havested lymph node.
Conclusions: Theses results suggest that laparoscopic anterior resection for colonic tumor seems to be technically feasible. However, for cancer surgery we must await the final results of large randomized studies before drawing any
definitive
conclusion.
KEYWORD
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