Laparoscopic Colectomy: Technical Considerations / 대한내시경복강경외과학회지
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
;
: 37-43, 2009.
Article
in Korean
| WPRIM
| ID: wpr-195611
ABSTRACT
PURPOSE:
Laparoscopic colectomy is technically demanding. Here we share of experience with laparoscopic procedures with focusing on (1) preoperative localization by a colonoscopic tattoo and (2) comparing the laparoscopic total mesorectal excision (lapaTME) with the conventional TME (openTME) according to microscopic examination.METHODS:
We retrospectively collected 112 cases of laparoscopic colectomy that was performed for treating colorectal cancer during the past 6 years. Preoperative colonoscopic tattoo was done by using india ink. The tattoo cases were compared with the non-tattoo cases. Comparison between 13 cases of lapaTME and 15 cases of openTME was assessed by both gross and microscopic examination in the 28 cases for 9 months. The lapaTME and openTME were applied to mid-rectal cancer and mid&low rectal cancer, respectively.RESULTS:
Tattoo was carried out for the Tis (100%), T1 (92%), T2 (72%), T3 (36%) cases. Of the significant cases, T3 lesion was not identified at laparoscopic colectomy. LapaTME grossly showed a greater incidence of defect than that of openTME, but there was no difference microscopically between lapaTME and openTME.CONCLUSION:
A tattoo was useful for early lesion and it should be considered for advanced lesion. LapaTME for mid-rectal cancer can be done without compromising the principles of TME.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rectal Neoplasms
/
Carbon
/
Colorectal Neoplasms
/
Incidence
/
Retrospective Studies
/
Laparoscopy
/
Colectomy
/
India
/
Ink
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
Year:
2009
Type:
Article
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