大腸直腸癌的腹腔鏡手術

Laparoscopic Surgery for Colorectal Cancer

梁金銅(Jin-Tung Liang)

《中華民國癌症醫學會雜誌》 24卷3期 (2008/06) Pp. 172-179

https://doi.org/10.6588/JCOS.2008.24.3.5

摘要

目前有關大腸癌或直腸癌的腹腔鏡或所謂低侵襲性手術，在手術技巧上，應均屬可行、安全，且手術時間與傳統剖腹手術相當。而就腫瘤治療成果而言，已有隨機前瞻性研究顯示腹腔鏡手術與傳統剖腹手術在大腸癌是相當的；然而，就直腸癌而言，則尚缺乏充分的證據。然而，我們初步的研究發現，直腸癌的全直腸繫膜切除術能以腹腔鏡手術安全且有效地執行，且腫瘤治療成果亦十分令人鼓舞。腹腔鏡手術提供大腸直腸癌病患手術的另一項選擇，且病患術後恢復較快，痛苦較輕，作者對此種術式的正面評價相當高。

關鍵字

腹腔鏡手術 ； 大腸直腸癌 ； 全直腸繫膜切除

並列摘要

Currently, the application of laparoscopic approach for the resection of either colon or rectal cancer is proven to be technically feasible, safe, and efficient. However, the randomized clinical trials showing that the oncologic results are equivalent between laparoscopic and traditional open surgery are only limited to patients with colon cancer. In contrast, for the surgical resection of rectal cancer, the treatment efficacy of laparoscopic approach remains ambiguous because the data based on randomized prospective clinical trials are still not available. However, our initial data from phase II clinical trial shows that laparoscopic total mesorectal excision is technical efficient and with encouraging oncologic results for the treatment of rectal cancer. The author recommends the laparoscopic surgery because it can provide both quicker postoperative convalescence and favorable oncologic outcomes for patients with colorectal cancer.

並列關鍵字

laparoscopic surgery ； colorectal cancer ； total mesorectal excision