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    Jurnal Digestive

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    Francesc Oktofabregas
    This document discusses laparoscopic surgery versus open resection for transverse colon cancer. It notes that laparoscopic surgery was first performed for colon cancer in 1991. Between 2006-2014, 357 patients underwent either laparoscopic resection (LR) or open resection (OR) for transverse colon cancer. LR was associated with shorter-term benefits like less blood loss, less pain, faster return of bowel function, and better cosmetic results compared to OR. However, lymph node dissection and ligation of arteries can be more difficult for transverse colon cancer due to the colon's mobility and proximity to other organs.

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    Jurnal Digestive

    Uploaded by

    Francesc Oktofabregas
    45 views9 pages
    This document discusses laparoscopic surgery versus open resection for transverse colon cancer. It notes that laparoscopic surgery was first performed for colon cancer in 1991. Between 2006-2014, 357 patients underwent either laparoscopic resection (LR) or open resection (OR) for transverse colon cancer. LR was associated with shorter-term benefits like less blood loss, less pain, faster return of bowel function, and better cosmetic results compared to OR. However, lymph node dissection and ligation of arteries can be more difficult for transverse colon cancer due to the colon's mobility and proximity to other organs.

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    jurnal

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    This document discusses laparoscopic surgery versus open resection for transverse colon cancer. It notes that laparoscopic surgery was first performed for colon cancer in 1991. Between 2006-2014, 357 patients underwent either laparoscopic resection (LR) or open resection (OR) for transverse colon cancer. LR was associated with shorter-term benefits like less blood loss, less pain, faster return of bowel function, and better cosmetic results compared to OR. However, lymph node dissection and ligation of arteries can be more difficult for transverse colon cancer due to the colon's mobility and proximity to other organs.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    45 views9 pages

    Jurnal Digestive

    Uploaded by

    Francesc Oktofabregas
    This document discusses laparoscopic surgery versus open resection for transverse colon cancer. It notes that laparoscopic surgery was first performed for colon cancer in 1991. Between 2006-2014, 357 patients underwent either laparoscopic resection (LR) or open resection (OR) for transverse colon cancer. LR was associated with shorter-term benefits like less blood loss, less pain, faster return of bowel function, and better cosmetic results compared to OR. However, lymph node dissection and ligation of arteries can be more difficult for transverse colon cancer due to the colon's mobility and proximity to other organs.

    Copyright:

    © All Rights Reserved
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    Download as ppt, pdf, or txt
    of 9

    Laparoscopic resection

    => 1991
    short-term outcomes: perdarahan,
    nyeri , fungsi usus , kosmetik
    kontroversi => Ca colon transversum
    => colica media dan teknik
    limfadenoctomy
    Transverse colon cancer => Flexura
    hepatica dan splenica
    2006-2014
    357 pasien => 278 = 156 LR, 122 OR
    Berbeda berdasarkan lokasi tumor
    extended right hemicolectomy =>
    flexura hepatic flexure / 10 cm distal
    left extended hemicolectomy =>
    splenic flexure / 10 cm proximal
    transverse colectomy => sentral colon
    LR > OR
    Kontroversi
    => kanker colon transversum =>
    insiden rendah dan teknik ligasi arteri
    sulit
    Linfadenectomy sulit => flaksid, mobile,
    tidak terfixir dengan retroperitonium
    pancreas, duodenum, spleen, and
    superior mesenteric vein
    laparoscopic surgery for transverse
    colon
    - aman dan fisible
    - hasil jangka pendek lebih baik
    perdarahan minimal, nyeri minimal,
    fungsi usus lebih cepat, kosmetik

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