[To what extent are laparoscopic procedures defensible in oncologic surgery?].
Successful oncological standard procedures can only be replaced by new methods if their value has been proven by long-term results. Laparoscopic tumor resections with curative intention have to be considered experimental, especially because long-term results are not yet available. These operations require two preconditions: 1) the oncological quality of tumor resection must be assessed by special methods of pathohistological examinations; and 2) long-term follow-up care must be guaranteed. In most cases, these preconditions are only secured within clinical trials.
Hermanek
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Chirurgische Klinik und Poliklinik, Universität Erlangen-Nürnberg.
Wittekind
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C
D000008:Abdominal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D005770:Gastrointestinal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D009367:Neoplasm Staging; D010043:Outcome and Process Assessment, Health Care; D011785:Quality Assurance, Health Care; D015996:Survival Rate
Inwieweit sind laparoskopische Verfahren in der onkologischen Chirurgie vertretbar?