Evaluation of Laparoscopic Resection for Colorectal Cancer

Mitsuhiro Tsutsui, Juei Sasaki, Otsuo Tanaka, Atsushi Nashimoto, Yoshiaki Tsuchiya, Haruhiko Makino

Division of Surgery, Niigata Cancre Center Hospital

In our department, 71 laparoscopic operations for colorectal cancer have been performed and followed up for 6-51 months. Two patients underwent wedge resection of the cecum, and 69 underwent laparoscopic-assisted resection with lymph-adenectomy. There were 29 cases of early cancer and 42 cases of advanced cancer. Accurate dissection of colon cancer was possible. In nine cases, lymph node metastasis was histologically positive and in three cases, metastasis was identified by laparoscopic ultrasonography before dissection. There was no cancer recurrence. The mean period from hospital discharge to starting work or sport was significantly shorter in the laparoscopic-assisted resection group than in the open resection group (13 days vs 31 days; p<0.0001). Laparoscopic-assisted resection for colorectal cancer was acceptable for minimally invasive surgery.

Key words
colorectal cancer, laparoscopic surgery, laparoscopic ultrasonography

Reprint requests
Mitsuhiro Tsutsui Department of Surgery, Niigata Cance Center Hospital
2-15-3 Kawagishi-cho, Niigata, 951-8133 JAPAN

Accepted
December 3, 1997

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