Zusammenfassung
Die laparoskopische Resektion von Kolonkarzinomen erbringt heute in einem entsprechenden Trainingsstand gleichgute onkologische Ergebnisse wie die offene Chirurgie. Die Vorteile liegen im unmittelbar postoperativen Verlauf mit einer deutlich schnelleren Rekonvaleszenz. Dagegen ist die Machbarkeit laparoskopischer Behandlungsverfahren beim Rektumkarzinom zwar ebenfalls prinzipiell nachgewiesen, aber die Datenlage ist bisher noch nicht so fundiert wie beim Kolonkarzinom, sodass hier noch laufende Studien abgewartet werden müssen.
Abstract
There is sufficient solid evidence indicating that laparoscopic colon resection is a safe alternative to the open approach with some short term advantages in regards to shorter convalescence. In patients with primary respectable rectal cancer laparoscopic surgery has shown to be feasible as well. However, the evidence base is not yet sufficient and the use of this technique in clinical routine waits further information from ongoing randomised controlled trials.
Schlüsselwörter
Kolonchirurgie laparoskopisch - Kolonchirurgie offen - onkologische Sicherheit - Portsite-Metastasen - Rektumchirurgie laparoskopisch - Rektumchirurgie offen
Key words
laparoscopic colorectal surgery - open colorectal surgery - oncologic safety - port site metastases - laparoscopic rectum surgery - open rectum surgery
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Prof. Dr. H. Feußner
Chirurgische Klinik und Poliklinik · Klinikum rechts der Isar der TU München
Ismaninger Straße 22
81675 München
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Fax: 0 89 / 41 40 60 30
Email: feussner@chir.med.tu-muenchen.de
