INTESTINE Vol.7 No.6(3)


特集名 最先端の治療内視鏡
題名 腹腔鏡下治療の現況 -- 早期大腸癌に対する腹腔鏡下手術
発刊年月 2003年 11月
著者 田中 淳一 昭和大学横浜市北部病院消化器センター
著者 工藤 進英 昭和大学横浜市北部病院消化器センター
著者 石田 文生 昭和大学横浜市北部病院消化器センター
著者 遠藤 俊吾 昭和大学横浜市北部病院消化器センター
著者 日高 英二 昭和大学横浜市北部病院消化器センター
著者 中村 泉 昭和大学横浜市北部病院消化器センター
著者 永田 浩一 昭和大学横浜市北部病院消化器センター
著者 山口 祐二 昭和大学横浜市北部病院消化器センター
著者 出口 義雄 昭和大学横浜市北部病院消化器センター
著者 辰川 貴志子 昭和大学横浜市北部病院消化器センター
【 要旨 】 要旨はありません。
Theme Forefront of endoscopic treatment in early colorectal cancer
Title Laparoscopic surgery for early colorectal cancer
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.
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