| Theme |
Laparoscopic Treatment of Gastroenterological Diseases in Terms of Their Indication and Limitation |
| Title |
Results of Laparoscopic Surgery for Gastrointestinal Malignancy |
| Author |
Nobuyoshi Miyajima |
Department of Surgery, Teikyo-University Hospital |
| Author |
Tatsuo Yamakawa |
Department of Surgery, Teikyo-University Hospital |
| [ Summary ] |
The major concerns about laparoscopic surgery for gastrointestinal carcinoma are perioperative complications and long-term survival rate. However, the history of laparoscopic surgery for gastrointestinal carcinoma is still short. It has been shown in some reports that laparoscopic gastrectomy and colectomy can be accomplished with acceptable morbidity rates. To evaluate laparoscopic surgery for gastrointestinal carcinoma, the outcome of its use for gastric carcinoma and colorectal carcinoma was reviewed Local resection or partial gastrectomy with D1 or D1+alpha lymphadenectomy has been popular for gastric carcinoma. Intraoperative complications have been reported in 2.6% of patients and postoperative complications have been reported in 8.7% of patients. Recurrence has not been reported. In colorectal carcinoma cases, the indications for laparoscopic surgery have been enlarged to include advanced cases. Complications have been reported in 7.3% of patients. In our hospital, there were four hundred thirty four colorectal, laparoscopic surgical cases. Recurrence has been seen in only nine cases. Our results suggest that laparoscopic colorectal resection can be performed safely and that it is associated with few compliations and low recurrence rates. Randomized control trials are necessary to evaluate the usefulness of laparoscopic surgery for gastrointestinal carcinoma. |