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2004, Número 4

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Rev Mex Cir Endoscop 2004; 5 (4)


Papel de la cirugía de mínima invasión en cáncer de colon

Soto-Dávalos BA, Jacobs M, Plasencia G, Mata-Quintero C

Idioma: Ingles.
Referencias bibliográficas: 97
Paginas: 188-196
Archivo PDF: 113.12 Kb.


RESUMEN

Antecedentes: Desde que la cirugía laparoscópica fue descrita para el tratamiento de patología vesicular, ha sido innegable la gran variedad de aplicaciones de ésta en los diversos campos quirúrgicos. La colectomía laparoscópica (LAC) en enfermedades colorrectales benignas ha ganado lentamente popularidad debido a los beneficios de este procedimiento en comparación con el abordaje convencional. Sin embargo, su uso en cáncer de colon está aún bajo investigación, ya que esta técnica debería mostrar los mismos beneficios que la cirugía abierta en apego a los mismos principios oncológicos. Aún no se sabe si esto es posible o no.
Objetivo: Revisar la literatura actual sobre la práctica de colectomía laparoscópica en pacientes con cáncer de colon.
Métodos: Se realizó una búsqueda en las bases de datos MEDLINE y PubMed seleccionando la literatura más relevante acerca de colectomía laparoscópica por cáncer de colon.
Resultados: La información actual muestra que la LAC en pacientes con cáncer colorrectal es un procedimiento seguro que no confiere mayores riesgos en términos de sobrevida y recurrencia que los de la cirugía convencional. Aunque la controversia sobre las ventajas de la LAC continúa, otros estudios se diseñarán en el futuro para aclarar este punto.


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