H Scheidbach1, J Rose, O Huegel, C Yildirim, F Köckerling. 1. Department of Surgery and Center for Minimally Invasive Surgery, Hannover Hospital (Siloah), Roesebeckstr. 15, D-30449 Hannover, Germany. scheidbach@t-online.de
Abstract
BACKGROUND: To evaluate short- and long-term outcomes of laparoscopic resection of rectal carcinoma in curative intent. METHODS: Within a subgroup analysis of a multicentre study, initiated by the "Laparoscopic Colorectal Surgery Study Group (LCSSG)", 520 patients with rectal cancer were included in a prospective, clinical observational study. RESULTS: One hundred and ninety patients underwent an abdominoperineal resection (APR) and 330 patients an anterior resection (AR) of the rectum. The demographic parameters, intraoperative complication rates, morbidity and mortality rates were comparable in both groups. In patients undergoing AR a trend towards limited oncologic radicality, and a significant increase in the anastomotic leak rate related to the distance of the tumour from the anal verge were observed. Calculated survival data revealed stage-related survival rates for UICC stages I, II and III of 82.0%, 68.8% and 63.3%, respectively. CONCLUSIONS: While APR is highly suited to the laparoscopic approach, laparoscopic AR cannot at present be generally recommended.
BACKGROUND: To evaluate short- and long-term outcomes of laparoscopic resection of rectal carcinoma in curative intent. METHODS: Within a subgroup analysis of a multicentre study, initiated by the "Laparoscopic Colorectal Surgery Study Group (LCSSG)", 520 patients with rectal cancer were included in a prospective, clinical observational study. RESULTS: One hundred and ninety patients underwent an abdominoperineal resection (APR) and 330 patients an anterior resection (AR) of the rectum. The demographic parameters, intraoperative complication rates, morbidity and mortality rates were comparable in both groups. In patients undergoing AR a trend towards limited oncologic radicality, and a significant increase in the anastomotic leak rate related to the distance of the tumour from the anal verge were observed. Calculated survival data revealed stage-related survival rates for UICC stages I, II and III of 82.0%, 68.8% and 63.3%, respectively. CONCLUSIONS: While APR is highly suited to the laparoscopic approach, laparoscopic AR cannot at present be generally recommended.
Authors: C Palanivelu; K Sendhilkumar; Kalpesh Jani; P S Rajan; G S Maheshkumar; Roshan Shetty; R Parthasarthi Journal: Int J Colorectal Dis Date: 2006-06-20 Impact factor: 2.571
Authors: Vicky Ka Ming Li; Steven D Wexner; Nestor Pulido; Hao Wang; Hei Yin Jin; Eric G Weiss; Juan J Nogeuras; Dana R Sands Journal: Surg Endosc Date: 2009-03-20 Impact factor: 4.584
Authors: Julia-Kristin Baukloh; Daniel Perez; Matthias Reeh; Matthias Biebl; Jakob R Izbicki; Johann Pratschke; Felix Aigner Journal: Visc Med Date: 2018-02-21