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Retrospective Comparison of Minilaparotomy ('moving window method') and Laparoscopic-assisted Approaches for Colon Cancer Resection


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Title: Retrospective Comparison of Minilaparotomy ('moving window method') and Laparoscopic-assisted Approaches for Colon Cancer Resection
Authors: Nakagoe, Tohru / Sawai, Terumitsu / Tsuji, Takashi / Jibuki, Masaaki / Nanashima, Atsushi / Yamaguchi, Hiroyuki / Yasutake, Toru / Ayabe, Hiroyoshi / Ishikawa, Hiroshi
Issue Date: 19-Dec-2001
Citation: Acta medica Nagasakiensia. 2001, 46(3-4), p.25-32
Abstract: Aims: Outcome in minilaparotomy and laparoscopic-assisted approaches to colon cancer resection was compared retrospectively. Methods: The 'minilaparotomy approach', defined as a complete resection performed through a skin incision of 7cm or shorter ('moving window method'), was achieved in 47 patients with colon cancers (Tis/T1/T2/T3/T4) between 1997 and 1998 (minilaparotomy group). A laparoscopic-assisted approach was used in 30 patients with colon cancers (Tis/T1) between 1994 and 1996 (laparoscopic-assisted group). Results: Age, gender, prior laparotomy, tumor location, weight, height, body mass index, operation time, blood loss, and type of colectomies and anastomosis were similar in both groups. Median incision lengths in the minilaparotomy group were longer than in the laparoscopic-assisted group (7.0 versus 6.0cm). Maximal tumor diameter, number of lymph nodes removed, and proximal and distal margins in the minilaparotomy group were larger than in the laparoscopicassisted group. The minilaparotomy group had more advanced staged tumors; however, times until initial walking, flatus, fluid and solid food, time with urinary catheter, analgesic usage, postoperative hospital stay, and postoperative complication frequencies were similar. In neither group was there tumor recurrence at the laparotomy wound or port sites. Conclusion: Minilaparotomy and laparoscopic-assisted approaches to colon cancer resection were similar in terms of early return of function and discharge.
Keywords: minilaparotomy approach / laparoscopic-assisted approach / colon cancer
URI: http://hdl.handle.net/10069/16190
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 46, No. 3-4

Citable URI : http://hdl.handle.net/10069/16190

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