| Theme | The point of treatment between endoscopic resection and laparoscopic surgery in colorectal tumor | |
|---|---|---|
| Title | Indication and problems of laparoscopic colon surgery for colorectal tumors | |
| Publish Date | 1999/09 | |
| Author | Hiroshi Kawano | Second Depertment of Medicine, Kurume University School of Medicine |
| [ Summary ] | Laparoscopic colon surgery for colorectal tumor is technically feasible and safe. However, there are various problems with this procedure. The most important problem is port-site metastasis. The incidence of port-site recurrence is 1.5-21%. This is higher than that reported following conventional surgery for colorectal cancer. Laparoscopic colon surgery is indicated when tumorous lesions are over sm2 or sm3 in size. If the size of tumorous lesions is over 20mm, we can try EPMR. However, there are some problems with EPMR. For example, after we remove the tumor with EPMR, we cannot take out all specimens, and if we can take out all specimens, we cannot reconstruct them. Therefore if the size of a tumorous lesion is over 20 mm, we remove the lesion by laparoscopic colon surgery. |
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