y?Morbidity and mortality 28 days after colectomy did not differ?Conclusion:?Laparoscopic surgery can be used for safe and radical resection of cancer in the right, left, and sigmoid colon.РLancet Oncol 2005; 6: 477–84РHuashan Hospital Hao HankunРASCRS Practice Parameters (2012)РLaparoscopic and open colectomy achieve equivalent oncological es for localized colon cancer. The use of the laparoscopic approach should be based on the surgeon’s documented experience in laparoscopic surgery as well as on patient- and tumor-specific factors. Grade of mendation: 1AРDis Colon Rectum 2012; 55: 831–843РHuashan Hospital Hao HankunР指南的变化Р拒绝:费用昂贵,术后恢复时间与开腹手术没有区别,且缺乏相关生存数据,不推荐临床常规使用。?部分接受:①要求术者具有丰富的腹腔镜手术经验;②无直肠或远端结肠肿瘤;③无远处转移、无梗阻或穿孔、无腹腔粘连;④要求术者对腹腔全面探查;⑤较小的肿瘤术前需要定位。РHuashan Hospital Hao HankunР医学百事通,在线医生咨询
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