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복강경 대장암 수술 · Laparoscopic colorectal surgery · Surgery
Laparoscopic colorectal surgery
A few small holes are made in the abdomen and a laparoscope is used to remove the section of colon or rectum with the tumor, along with nearby lymph nodes. The Korean COREAN randomized trial verified the long-term safety of laparoscopic surgery for mid-to-low rectal cancer after preoperative chemoradiotherapy.
Background: Korea's COREAN trial: 340 patients with mid-to-low rectal cancer who received preoperative chemoradiotherapy were randomized, and 10-year follow-up showed laparoscopic surgery did not affect long-term survival[1]
| Advantages | Limitations |
|---|---|
| Small wounds, quicker recovery; COREAN trial 10-year results: overall survival 76.8% (laparoscopic) vs 74.1% (open), not significantly different | If the tumor invades nearby organs or there are severe abdominal adhesions, the operation may need to be converted to open surgery; Demands a lot of surgical experience |
Used for
Offered at
Asan Medical Center, Seoul, Korea University Anam Hospital, Severance Hospital, Yonsei University, Samsung Medical Center, Seoul National University Hospital