INTESTINE Vol.6 No.1(4-1)

特集名 内視鏡医が知っておくべき腹腔鏡下手術
題名 腹腔鏡下手術の手技の実際 (1) 右側結腸の病変に対する腹腔鏡補助下大腸切除術
発刊年月 2002年 01月
著者 小島 正幸 自治医科大学消化器一般外科
著者 岡田 真樹 自治医科大学消化器一般外科
著者 冨樫 一智 自治医科大学消化器一般外科
著者 永井 秀雄 自治医科大学消化器一般外科
著者 小西 文雄 自治医科大学大宮医療センター外科
【 要旨 】 要旨はありません。
Theme What endoscopists should know about laparoscopy-assisted colectomy
Title Laparoscopic-assisted colectomy for right-sided colonic carcinoma
Author Masayuki Kojima Department of Surgery, Jichi Medical School
Author Masaki Okada Department of Surgery, Jichi Medical School
Author Kazutomo Togashi Department of Surgery, Jichi Medical School
Author Hideo Nagai Department of Surgery, Jichi Medical School
Author Fumio Konishi Department of Surgery, Omiya Medical Center, Jichi Medical School
[ Summary ] Laparoscopic surgery has been performed for various diseases of the digestive organs. The benefits of laparoscopic surgery include decreased postoperative pain and smaller incisions. The practice of laparoscopic cholecystectomy for gall stone disease has been established because of the simplicity of the procedure and also the benign nature of the disease. For colorectal neoplasia, endoscopic resection is a less invasive treatment modality so endoscopists should not easily suggest to need laparoscopic surgery. It is helpful for them to have a good knowledge of laparoscopic colorectal procedures. In this paper we showed the indications for right-sided laparoscopic colectomies and how we perform it.
It has been reported that port site recurrences might be a surgeon-related variable, dependent mainly on the surgeon's experience and technical expertise. The number of recurrences may be almost the same as those seen with endoscopic resection. Both are suitable techniques. Guidelines have been proposed to reduce the incidence of recurrence.