Peritoneoscope surgery of cancer of colon safer _'s treatment
A research that is published on the lancet magazine indicates, colon that the peritoneoscope assists excises the skill (LAC) Superior to opening surgery of belly conventionally, may treat the standard as new cancer of colon in the future.
Antonio M of Spain Barcelona hospital. Lacy Dr. point out compared with opening the belly operation, LAC operation reduce the intersection of cancer of colon and patient, enclose the intersection of operation and period complication rate, reduce hospital stays, it is correlated with life cycle to lengthen tumour and should become the choosing first of the clinician. Its advantage mainly embodies in the tumour patient of III stage, the recuring rate of LAC skill tumour is low, the total survival rate one is lengthened.
Researchers choose 219 to form a rectal cancer patient, accept LAC or opens the belly operation at random, it is the same that two groups of patients' aid treats postoperative sum and follows up a case by regular visits to.
Finally find compared with the situation that open in the belly operation group,let's shorten hospital stays patient such as group such as LAC (5 day /8 day, P =0.05),Postoperative the intersection of complication and rate reduce =0.001),In addition patient of LAC group postoperative intestines wriggle and eat, recover time earlier than, turn on belly surgery group.
LAC the intersection of group and tumour recur dangerous degree turn on the intersection of belly and the intersection of operation and 61% of group relatively, 95% can believe the limit CI is 0.19-0.82) ; Various reason mortality are 52% which hold the belly group (dangerous than 0.48, 95% CI is 0.23-1.01) ; The relevant mortality of tumour, for 62% open the belly group (dangerous than 0.38, 95% CI is 0.16-0.91) .
Lacy Dr. think if result of study this can test, prove at random ongoing many centre, LAC skill is expected to become the standard operation way which form rectal cancer.
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