Clinical Gastroenterology Vol.15 No.12(3)

Theme Up-to-date Therapuetic Strategy for Advanced Colorectal Cancer
Title Indications and the Limit of Laparoscopic Colectomy for Colorectal Cancer
Publish Date 2000/11
Author Hirotoshi Hasegawa Department of Surgery, Keio University School of Medicine
Author Masahiko Watanabe Department of Surgery, Keio University School of Medicine
Author Masaki Kitajima Department of Surgery, Keio University School of Medicine
[ Summary ] During the past 8 years, 327 patients with colorectal cancer (Dukes A:245, B:38, C:39, D:5) underwent laparoscopic colectomy. The median follow-up period was 37 months (1-97months). In 322 curative cases 8 patients had recurrences. Of these, 3 patients with pT3 tumours, and 1 with a pT4, had peritoneal recurrences. The 5 year disease-free survival rates, using the Kaplan-Meier method, were 97.4% for Dukes A, 95.2% for Dukes B and 81.5% for Dukes C. The 5 year overall survival rates were 99.3% for Dukes A, 100% for Dukes B and 96.0% for Dukes C. The long-term results of laparoscopic surgery, in patients with early color ectal cancer, were favourable, whereas strict follow ups are necessary in patients with pT3 tumours.
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