caa a22 4500 475752198 CHVBK 20180406123527.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s005950070113 doi (NATIONALLICENCE)springer-10.1007/s005950070113 The usefulness, indications, and complications of laparoscopy-assisted colectomy in comparison with those of open colectomy for colorectal carcinoma [Elektronische Daten] [Shigeru Marubashi, Hiroshi Yano, Takushi Monden, Taishi Hata, Hidenori Takahashi, Shoichiro Fujita, Toshiyuki Kanoh, Takashi Iwazawa, Shigeo Matsui, Yoshiaki Nakano, Hideo Tateishi, Masakatsu Kinuta, Shuji Takiguchi, Jun Okamura] The technique of laparoscopy-assisted colectomy (LAC) was developed for benign and malignant diseases of the colon and rectum; however, its feasibility and the associated clinical outcome remain unclear. We reviewed 45 patients who underwent LAC (LAC group) and 62 patients who underwent traditional open surgery (Open group) for colorectal carcinoma in our hospital, and compared the clinical data between the two groups in an effort to determine whether LAC is really minimally invasive and if it enhances the quality of life. So that the backgrounds of the patients in both groups were almost the same, we only compared data of patients with colorectal carcinoma of stages 0, I, and II. The duration of surgery in the Open group was significantly shorter for all procedures except sigmoid resection, but the blood loss was not significantly different between any of the procedures except for right colectomy. The time to the first passing of flatus and restarting oral intake, length of hospital stay, and duration of epidural analgesia were significantly shorter in the LAC group. The morbidity and mortality rates in the LAC group were almost the same as those in the Open group at 29.5% and 3.3% versus 22.6% and 1.6%, respectively. However, five major complications of LAC for advanced colorectal carcinomas might be prevented by performing an open procedure. In conclusion, LAC is a safe and minimally invasive surgical technique following which we can expect a faster recovery; however, patients with advanced colorectal carcinomas must be carefully selected for this operation. Springer-Verlag, 2000 laparoscopy-assisted colectomy nationallicence colorectal carcinoma nationallicence outcome nationallicence Marubashi Shigeru Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Yano Hiroshi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Monden Takushi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Hata Taishi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Takahashi Hidenori Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Fujita Shoichiro Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Kanoh Toshiyuki Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Iwazawa Takashi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Matsui Shigeo Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Nakano Yoshiaki Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Tateishi Hideo Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Kinuta Masakatsu Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Takiguchi Shuji Department of Endoscopic Surgery, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita, Japan aut Okamura Jun Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut Surgery Today Springer-Verlag 30/6(2000-06-01), 491-496 0941-1291 30:6<491 2000 30 595 https://doi.org/10.1007/s005950070113 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070113 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marubashi Shigeru Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Yano Hiroshi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Monden Takushi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Hata Taishi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Takahashi Hidenori Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Fujita Shoichiro Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Kanoh Toshiyuki Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Iwazawa Takashi Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Matsui Shigeo Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Nakano Yoshiaki Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Tateishi Hideo Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Kinuta Masakatsu Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 700 1- Takiguchi Shuji Department of Endoscopic Surgery, Osaka University Medical School, 2-2 Yamadaoka, 565-0871, Suita, Japan aut NATIONALLICENCE 700 1- Okamura Jun Department of Surgery, Osaka Teishin Hospital, 2-6-40 Karasugatsuji, Tennoji-ku, 543-8922, Osaka, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/6(2000-06-01), 491-496 0941-1291 30:6<491 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer