Die laparoskopische Resektion des kolorektalen Karzinoms in kurativer Absicht hat bis heute im chirurgischen Alltag einen nur begrenzten Stellenwert. Dies zeigt die«Qualitätssicherungsstudie Kolorektales Karzinom». Dennoch gibt es inzwischen einige prospektiv randomisierte Vergleichsstudien, deren Auswertungen für die offene und die laparoskopische Resektion vergleichbare onkologischen Ergebnisse nachweisen konnten. Das rezidivfreieÜberleben hängt dabei neben dem Tumorstadium von der operativen Erfahrung und Sorgfalt des Einzelnen ab und ist unabhängig von der Art des operativen Zugangs, wenn vorgegebene Standards eingehalten werden. Die Patienten profitieren von den allgemeinen Vorteilen des laparoskopischen Eingriffs im unmittelbar postoperativen Verlauf.

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2005
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