[Technical aspects of minimally-invasive cancer surgery of the colon: the complete laparoscopic procedure].
A literature review of current laparoscopic colon resection techniques in cancer clearly demonstrate prevalent violation of cancer surgery rules as defined in conventional procedures. Non performed Turnbull-manouver, mobilization of the affected bowel segment prior to ligation of vessel supply and questionable non-touch-technique due to pull through of the tumor prior to resection mainly account for this mal-strategy. Owing to a new instrument (EPR 18/70) a concept for total laparoscopically achieved resection and re-anastomosis as well as the possibility to put Turnbull-bandings is presented. In an experimental (n = 168) and preliminary clinical application (n = 11) encouraging results have been achieved leading not only to a strategy for safe and effective application of circular staplers but also to a concept for laparoscopic bowel resection in cancer which is close to the common conventional strategies.
Schöb
O
O
Klinik für Viszeralchirurgie, Universitätsspital Zürich.
Röthlin
M
M
Schlumpf
R
R
D003110:Colonic Neoplasms / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013528:Surgical Staplers
Technische Aspekte der minimal invasiven Onkochirurgie am Kolon: Das komplett laparoskopische Vorgehen.