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Laparoscopic resection for colon carcinoma: Results and long-term outcome in 182 patients Many reports dealing with laparoscopic resection of benign colorectal diseases showed that this method is technically feasible and improve patient comfort. However the use of this technique for malignancy has raised concerns about local cancer control and the lack of long-term results. The purpose of this study is to review all patients who underwent a laparoscopic resection for colon cancer at our hospital between October 1993 and December 2002. The cohort comprised a total of 182 patients (104 male, 78 female) whose average age was 67.5 (42-91) years. The following most common types of resection were performed: sigmoidectomy (n = 85), left hemicolectomy (n = 40), and right hemicolectomy (n = 55). There was no conversion to open surgery. Mean operating time was 165 (65-390) minutes. The postoperative complication rate was 10%, the most common being the anastomotic leakage (2.8%). One patient died of myocardial infarction postoperatively (0.6%). The tumor stages were UICC I (38%), II (49%), III (68%), and IV (27%).

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2004-04-19   |   650 visitas   |   1 valoraciones

Vol. 5 Núm.1. Febrero 2004 Pags. 5-15 Rev Mex Cir Endoscop 2004; Supl.(1)