Laparoscopic Colectomy Combined with Minilaparotomy Approach for Safety Operation in Patients with Colorectal Cancer

摘要

We performed Laparoscopic colectomy combined with minilaparotomy approach for safety operation. Indication for the operation is early stage of colon cancer according to recommendation of Japanese endoscopic surgical association for laparoscopic colectomy in patients with colon cancer. After laparoscopic procedure, minilaparotomy technique(moving window technique) use for lymph node dissection or rectal anastomosis. We have performed 25 cases of the operation for colon(include rectosigmoid) cancer (Mean BML22.2+/ -2.4) since 2006. The lengths of minilaparotomy were 4.2+/-lcm and 5.5+/-0.7cm in right side colectomy and left side colectomy. Mean operative time were 205+/-57min and 234+/-49min in right side colectomy and left side colectomy. There was no complication without 5 cases of wound infection. This operation is less invasive similar to laparoscopic surgery and safety operation.