Laparoscopic resection for middle and low rectal cancer
Aims: The purpose of this study was to evaluate the technical feasibility, safety and oncological outcomes of laparoscopic resection for middle and low rectal cancers. Materials and Methods: From January 2004 to December 2011, review of prospectively collected database revealed a series of 97 laparo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Minimal Access Surgery |
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| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=68;epage=71;aulast=Park |
| _version_ | 1828806590215487488 |
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| author | Kwang-Kuk Park Seung-Hyun Lee Sung-Uhn Baek Byung-Kwon Ahn |
| author_facet | Kwang-Kuk Park Seung-Hyun Lee Sung-Uhn Baek Byung-Kwon Ahn |
| author_sort | Kwang-Kuk Park |
| collection | DOAJ |
| description | Aims: The purpose of this study was to evaluate the technical feasibility, safety and oncological outcomes of laparoscopic resection for middle and low rectal cancers. Materials and Methods: From January 2004 to December 2011, review of prospectively collected database revealed a series of 97 laparoscopic resections for middle and low rectal cancer within 10 cm from the anal verge. Five patients with multiple primary cancers were excluded. Operation time, intra-operative blood loss, surgical complications, duration of hospital stay, retrieved lymph nodes, tumour, node, metastasis (TNM) stage and recurrence were retrospectively analysed. Results: Tumours were located within 5 cm of the anal verge in 28 patients (30.4%) and from 5 cm to 10 cm in 64 patients (69.6%). Abdominoperineal resection was performed in 12 patients (13%), and conversion to open surgery was necessary in four patients (4.3%). The mean operation time was 199.7 min (range 105-450 min) and the mean intra-operative blood loss was 169.9 mL (range 20-800 mL). The mean hospital stay was 11.8 days (range 5-45 days) and a mean of 12.2 lymph nodes were retrieved. The incidence of surgical complications was 11.9%, including anastomosis site leakage in five patients (5.4%). There were no mortalities resulting from laparoscopic surgery. The median follow-up period was 28.4 months (range 7-85 months). Recurrence occurred in eight patients (8.7%). Conclusions: Laparoscopic resection can be applied for middle and low rectal cancers with acceptable surgical and oncological outcomes. |
| first_indexed | 2024-12-12T08:11:53Z |
| format | Article |
| id | doaj.art-695dda9c398d46319f7bc83faa56a754 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-12T08:11:53Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-695dda9c398d46319f7bc83faa56a7542022-12-22T00:31:44ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212014-01-01102687110.4103/0972-9941.129951Laparoscopic resection for middle and low rectal cancerKwang-Kuk ParkSeung-Hyun LeeSung-Uhn BaekByung-Kwon AhnAims: The purpose of this study was to evaluate the technical feasibility, safety and oncological outcomes of laparoscopic resection for middle and low rectal cancers. Materials and Methods: From January 2004 to December 2011, review of prospectively collected database revealed a series of 97 laparoscopic resections for middle and low rectal cancer within 10 cm from the anal verge. Five patients with multiple primary cancers were excluded. Operation time, intra-operative blood loss, surgical complications, duration of hospital stay, retrieved lymph nodes, tumour, node, metastasis (TNM) stage and recurrence were retrospectively analysed. Results: Tumours were located within 5 cm of the anal verge in 28 patients (30.4%) and from 5 cm to 10 cm in 64 patients (69.6%). Abdominoperineal resection was performed in 12 patients (13%), and conversion to open surgery was necessary in four patients (4.3%). The mean operation time was 199.7 min (range 105-450 min) and the mean intra-operative blood loss was 169.9 mL (range 20-800 mL). The mean hospital stay was 11.8 days (range 5-45 days) and a mean of 12.2 lymph nodes were retrieved. The incidence of surgical complications was 11.9%, including anastomosis site leakage in five patients (5.4%). There were no mortalities resulting from laparoscopic surgery. The median follow-up period was 28.4 months (range 7-85 months). Recurrence occurred in eight patients (8.7%). Conclusions: Laparoscopic resection can be applied for middle and low rectal cancers with acceptable surgical and oncological outcomes.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=68;epage=71;aulast=ParkAnastomotic leakagelaparoscopic surgeryrectal cancerrecurrence |
| spellingShingle | Kwang-Kuk Park Seung-Hyun Lee Sung-Uhn Baek Byung-Kwon Ahn Laparoscopic resection for middle and low rectal cancer Journal of Minimal Access Surgery Anastomotic leakage laparoscopic surgery rectal cancer recurrence |
| title | Laparoscopic resection for middle and low rectal cancer |
| title_full | Laparoscopic resection for middle and low rectal cancer |
| title_fullStr | Laparoscopic resection for middle and low rectal cancer |
| title_full_unstemmed | Laparoscopic resection for middle and low rectal cancer |
| title_short | Laparoscopic resection for middle and low rectal cancer |
| title_sort | laparoscopic resection for middle and low rectal cancer |
| topic | Anastomotic leakage laparoscopic surgery rectal cancer recurrence |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=68;epage=71;aulast=Park |
| work_keys_str_mv | AT kwangkukpark laparoscopicresectionformiddleandlowrectalcancer AT seunghyunlee laparoscopicresectionformiddleandlowrectalcancer AT sunguhnbaek laparoscopicresectionformiddleandlowrectalcancer AT byungkwonahn laparoscopicresectionformiddleandlowrectalcancer |