| Theme | Forefront of endoscopic treatment in early colorectal cancer | |
|---|---|---|
| Title | Laparoscopic surgery for early colorectal cancer | |
| Publish Date | 2003/11 | |
| Author | Jun-ichi Tanaka | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Shin-ei Kudo | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Fumio Ishida | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Shungo Endo | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Eiji Hidaka | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Izumi Nakamura | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Koichi Nagata | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Yuji Yamaguchi | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Yoshio Deguchi | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| Author | Kishiko Tatsukawa | Digestive Disease Center, Showa University Northern Yokohama Hospital |
| [ Summary ] | Early colorectal cancer can be treated with endoscopic resection or surgical resection. Endoscopic resection includes polypectomy and endoscopic mucosal resection (EMR). Recent developments in minimal access surgery have altered the surgical approach to colorectal surgery so that laparoscopic-assisted colectomy (LAC) appears to be a very attractive alternative to open surgery, especially in the treatment of early colorectal cancer. Magnifying colonoscopy and pit pattern diagnosis are proper and feasible in diagnosis of early colorectal cancer and the depth of cancer invasion. Cases in which the depth of the cancer invasion is limited to the upper third of the submucosal layer can be curatively treated with colonoscopy, however other early colorectal cancer should be treated using LAC procedures, including lymphnode dissection. We demonstrated our indications for and results of laparoscopic surgery for early colorectal cancer. | |