KMID : 1134220080280020060
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Hanyang Medical Reviews 2008 Volume.28 No. 2 p.60 ~ p.67
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Laparoscopic Surgery for Colorectal Cancer
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Kim Byung-Chun
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Abstract
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Since the earliest report of laparoscopic colon resection was in 1991 by Moises Jacobs, laparoscopic surgery for colorectal cancer has established their place as a minimally invasive approach. Major concerns are the oncologic principles of a proper operation and the technical difficulties of laparoscopic colorectal resection. The purpose of this article is to review the current status of knowledge about laparoscopic surgery for colorectal cancer based on the literature. Many reports on laparoscopic colectomy in patients with colorectal cancer suggest that it lowers surgical trauma, decreases postoperative complications, and leads to more rapid recovery. They suggest that laparoscopic colectomy is associated with reduced perioperative morbidity, very low risk of wound metastasis, earlier recovery of bowel function, need for fewer analgesics and shorter hospital stay. When laparoscopic colectomy for colorectal cancer was compared to open colectomy in terms of tumor recurrence and survival, laparoscopic colectomy is not inferior to open surgery. Laparoscopic colectomy for colorectal cancer is a feasible and safe procedure.
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KEYWORD
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Laparoscopic surgery, Colorectal cancer
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