科研之友
微信
新浪微博
Facebook
分享链接
摘要
Background: Laparoscopic resections for colon cancer are increasingly performed in Germany. The results of the laparoscopic procedures have to compete with the excellent oncological outcomes of standard open resections. This article gives an overview on the short- and long-term results of laparoscopic colon cancer surgery compared to open resection, referring to evidence-based literature. Methods: The article reviews the five largest prospective randomized trials comparing laparoscopic and open resection for colon cancer (ALCCaS, Barcelona Trial, CLASICC Trial, COLOR Study, and COST Study) as well as the largest and most recent meta-analysis. Short- and long-term results are summarized and the most important endpoints are presented. Results: The oncologic long-term results of laparoscopic surgery are at least equal to those of standard open surgery. There are advantages within the early postoperative period and for the perioperative outcome. The higher direct costs of laparoscopic resections are equalized by shorter hospital stays, less morbidity, and less re-interventions regarding incisional hernia and intra-abdominal adhesions. Conclusions: Given a critical and individualized indication, laparoscopic surgery for colon cancer performed by an experienced and well-trained surgeon should be the treatment of choice, enabling patients to benefit from earlier functional recovery with no detriment to long-term oncological outcomes.
- 出版日期2013
