演題抄録

FACO Surgery Session

開催概要
開催回
第53回・2015年・京都
 

Laparoscopic surgery with the vascular pedicle ligation using automatic stapling device for until T2 left side colon cancer

演題番号 : FSS9-2

[筆頭演者]
Naito Masanori:1 
[共同演者]
Sato Takeo:1、Nakamura Takatoshi:1、Ogura Naoto:1、Yamanashi Takahiro:1、Miura Hirohisa:1、Tsutsui Atsuko:1、Kojo Ken:1、Yokoi Keigo:1、Watanabe Masahiko:1

1:Department of Surgery, School of Medicine, Kitasato University

 

Background: Laparoscopic surgery for colorectal cancer is excellent in cosmetic and minimally invasive procedure, but is the need for skillful technique. We performed laparoscopic colorectal surgery with vascular pedicle ligation using automatic stapling device for technically easily. Here we examined long-term outcome and technically usefulness of laparoscopic surgery for until T2 left side colon cancer with vascular pedicle ligation using automatic stapling device.
Methods: There were 49 patients who underwent laparoscopic colectomy or anterior resection for until T2 left side colon cancer including recto-sigmoid colon cancer from January 2006 to December 2011. We examined operation times, the amount of bleeding , the number of harvested lymph nodes, recurrence rates and morbidity rates between vascular pedicle ligation technique using automatic stapling device (stapling ligation) and conventional technique by ligation using clip (clipping ligation).
Results: The procedure was underwent stapling ligation group to 35 patients and the clipping ligation group to 14 patients. The median survival times were 73.1 months. Although the mean amount of bleeding and the mean operation times were no significantly different between both groups, it were shown a tendency to reduction and shortening in stapling ligation (12.8 ± 12.3 g and 203.6 ± 47.6 minutes in stapling ligation, 40.3 ± 68.7 g and 220.5 ± 49.5 minutes in clipping ligation, respectively). Further, the mean number of harvested lymph nodes, morbidity rates and long-term outcomes were no different between both groups.
Conclusion: We have shown that laparoscopic surgery with the vascular pedicle ligation using automatic stapling device for until T2 left side colon cancer is oncologic validity and technically safety.

キーワード

臓器別:大腸・小腸

手法別:手術療法

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