Laparoscopic Proctectomy in Locally Advance Rectal Cancer: Prolapse Delayed Anastomosis Compared to Immediate Anastomosis
Locally advance rectal cancer was treated in 144 patients of stages II and III with positive nodes only between 2014 and 17. Combined laparoscopic and trans-anal-rectal excision were performed in all patients, 54 (37.5%) had delayed, and 90 (62.5%) had immediate coloanal anastomoses. Both groups rec...
Gespeichert in:
Veröffentlicht in: | Indian journal of surgery 2022-10, Vol.84 (5), p.1014-1019 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1019 |
---|---|
container_issue | 5 |
container_start_page | 1014 |
container_title | Indian journal of surgery |
container_volume | 84 |
creator | Zangui, Mahtab Abdollahi, Abbas Nooghabi, Mehdi Jabbari Jangjoo, Ali Ravan, Reza Roshan Navari, Yasaman Shahabi, Fateme |
description | Locally advance rectal cancer was treated in 144 patients of stages II and III with positive nodes only between 2014 and 17. Combined laparoscopic and trans-anal-rectal excision were performed in all patients, 54 (37.5%) had delayed, and 90 (62.5%) had immediate coloanal anastomoses. Both groups received diverting stoma. Seven patients (4.9%) had pre-sacral collection and anastomotic leakage of which 5 (9.3%) had delayed and 2 (2.2%) had immediate anastomosis. Postoperative obstructions occurred in 5 (9.3%) patients of group delayed and 2 (2.2%) of immediate group. Sepsis and peritonitis was observed in delayed group only—2 (3.7%). One subject died in postoperative due to bleeding and pelvic sepsis in immediate group. Positive circumferential margins above and below were not different between the two groups (
p
= 0.371, 0.631).Overall survival was 86.8% CI 95% = 74.3–93.5 in the delayed group and 75% CI 95% = 64.6–82.8 in the immediate group. Similarly, 5-year survival was 76% CI 95% = 61.6–85.6 and 69.7% CI 95% = 58.5–78.4 for delayed and immediate anastomoses groups respectively. Overall survival was not significantly different between the two groups (related tests
p
= 0.429). We conclude from a non-randomized comparative study that combined laparoscopic and trans-anal excision of locally advanced rectal cancer when treated with delayed anastomosis has somewhat higher surgical complications than immediate anastomosis group. However, no difference was observed in the long- and short-term survival between these 2 groups. |
doi_str_mv | 10.1007/s12262-021-03191-5 |
format | Article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2728164825</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A723971009</galeid><sourcerecordid>A723971009</sourcerecordid><originalsourceid>FETCH-LOGICAL-c267t-976f5aa6a348460a0654ec9b2033a506a9dd2b9ad4e5d66c05420bb0566ecc123</originalsourceid><addsrcrecordid>eNp9kUFr3DAQhU1poGnSP9CToGeno5Etr3pbNkkTWGgJ6VnMyuOgYFuu5AT876PNBtJACTpIGn1v9JhXFF8lnEmA5nuSiBpLQFmCkkaW9YfiGEyjStMY9fH5jCWCXn0qPqd0D4CVVuq4WLY0UQzJhck78TsGN7Obw7AIP4ptcNT3i1i3jzQ6Fjf5iXqx2V_ijz3d05RYnHNPC7diPVLK2pB8Epsw5Ma5OAdxPQzcepr5X-K0OOqoT_zlZT8p_lxe3G6uyu2vn9eb9bZ0qJs5-9ddTaRJVatKA4GuK3Zmh6AU1aDJtC3uDLUV163WDuoKYbeDWmt2TqI6Kb4d-k4x_H3gNNv78BDH_KXFBldSVyusX6k76tn6sQtzJDf45Oy6QWWaPGaTqbP_UHm1PHgXRu58rr8R4EHg8oxT5M5O0Q8UFyvB7pOzh-RsTs4-J2f3XtRBlDI83nF8dfyO6gmH_psQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2728164825</pqid></control><display><type>article</type><title>Laparoscopic Proctectomy in Locally Advance Rectal Cancer: Prolapse Delayed Anastomosis Compared to Immediate Anastomosis</title><source>EZB Electronic Journals Library</source><source>SpringerLink Journals - AutoHoldings</source><creator>Zangui, Mahtab ; Abdollahi, Abbas ; Nooghabi, Mehdi Jabbari ; Jangjoo, Ali ; Ravan, Reza Roshan ; Navari, Yasaman ; Shahabi, Fateme</creator><creatorcontrib>Zangui, Mahtab ; Abdollahi, Abbas ; Nooghabi, Mehdi Jabbari ; Jangjoo, Ali ; Ravan, Reza Roshan ; Navari, Yasaman ; Shahabi, Fateme</creatorcontrib><description>Locally advance rectal cancer was treated in 144 patients of stages II and III with positive nodes only between 2014 and 17. Combined laparoscopic and trans-anal-rectal excision were performed in all patients, 54 (37.5%) had delayed, and 90 (62.5%) had immediate coloanal anastomoses. Both groups received diverting stoma. Seven patients (4.9%) had pre-sacral collection and anastomotic leakage of which 5 (9.3%) had delayed and 2 (2.2%) had immediate anastomosis. Postoperative obstructions occurred in 5 (9.3%) patients of group delayed and 2 (2.2%) of immediate group. Sepsis and peritonitis was observed in delayed group only—2 (3.7%). One subject died in postoperative due to bleeding and pelvic sepsis in immediate group. Positive circumferential margins above and below were not different between the two groups (
p
= 0.371, 0.631).Overall survival was 86.8% CI 95% = 74.3–93.5 in the delayed group and 75% CI 95% = 64.6–82.8 in the immediate group. Similarly, 5-year survival was 76% CI 95% = 61.6–85.6 and 69.7% CI 95% = 58.5–78.4 for delayed and immediate anastomoses groups respectively. Overall survival was not significantly different between the two groups (related tests
p
= 0.429). We conclude from a non-randomized comparative study that combined laparoscopic and trans-anal excision of locally advanced rectal cancer when treated with delayed anastomosis has somewhat higher surgical complications than immediate anastomosis group. However, no difference was observed in the long- and short-term survival between these 2 groups.</description><identifier>ISSN: 0972-2068</identifier><identifier>EISSN: 0973-9793</identifier><identifier>DOI: 10.1007/s12262-021-03191-5</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Cardiac Surgery ; Care and treatment ; Colorectal cancer ; Comparative analysis ; Laparoscopic surgery ; Laparoscopy ; Medicine ; Medicine & Public Health ; Metronidazole ; Neurosurgery ; Original Article ; Pediatric Surgery ; Plastic Surgery ; Sepsis ; Surgery ; Thoracic Surgery</subject><ispartof>Indian journal of surgery, 2022-10, Vol.84 (5), p.1014-1019</ispartof><rights>Association of Surgeons of India 2022</rights><rights>COPYRIGHT 2022 Springer</rights><rights>Association of Surgeons of India 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-976f5aa6a348460a0654ec9b2033a506a9dd2b9ad4e5d66c05420bb0566ecc123</cites><orcidid>0000-0001-5681-0078</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12262-021-03191-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12262-021-03191-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids></links><search><creatorcontrib>Zangui, Mahtab</creatorcontrib><creatorcontrib>Abdollahi, Abbas</creatorcontrib><creatorcontrib>Nooghabi, Mehdi Jabbari</creatorcontrib><creatorcontrib>Jangjoo, Ali</creatorcontrib><creatorcontrib>Ravan, Reza Roshan</creatorcontrib><creatorcontrib>Navari, Yasaman</creatorcontrib><creatorcontrib>Shahabi, Fateme</creatorcontrib><title>Laparoscopic Proctectomy in Locally Advance Rectal Cancer: Prolapse Delayed Anastomosis Compared to Immediate Anastomosis</title><title>Indian journal of surgery</title><addtitle>Indian J Surg</addtitle><description>Locally advance rectal cancer was treated in 144 patients of stages II and III with positive nodes only between 2014 and 17. Combined laparoscopic and trans-anal-rectal excision were performed in all patients, 54 (37.5%) had delayed, and 90 (62.5%) had immediate coloanal anastomoses. Both groups received diverting stoma. Seven patients (4.9%) had pre-sacral collection and anastomotic leakage of which 5 (9.3%) had delayed and 2 (2.2%) had immediate anastomosis. Postoperative obstructions occurred in 5 (9.3%) patients of group delayed and 2 (2.2%) of immediate group. Sepsis and peritonitis was observed in delayed group only—2 (3.7%). One subject died in postoperative due to bleeding and pelvic sepsis in immediate group. Positive circumferential margins above and below were not different between the two groups (
p
= 0.371, 0.631).Overall survival was 86.8% CI 95% = 74.3–93.5 in the delayed group and 75% CI 95% = 64.6–82.8 in the immediate group. Similarly, 5-year survival was 76% CI 95% = 61.6–85.6 and 69.7% CI 95% = 58.5–78.4 for delayed and immediate anastomoses groups respectively. Overall survival was not significantly different between the two groups (related tests
p
= 0.429). We conclude from a non-randomized comparative study that combined laparoscopic and trans-anal excision of locally advanced rectal cancer when treated with delayed anastomosis has somewhat higher surgical complications than immediate anastomosis group. However, no difference was observed in the long- and short-term survival between these 2 groups.</description><subject>Cardiac Surgery</subject><subject>Care and treatment</subject><subject>Colorectal cancer</subject><subject>Comparative analysis</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metronidazole</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Plastic Surgery</subject><subject>Sepsis</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><issn>0972-2068</issn><issn>0973-9793</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kUFr3DAQhU1poGnSP9CToGeno5Etr3pbNkkTWGgJ6VnMyuOgYFuu5AT876PNBtJACTpIGn1v9JhXFF8lnEmA5nuSiBpLQFmCkkaW9YfiGEyjStMY9fH5jCWCXn0qPqd0D4CVVuq4WLY0UQzJhck78TsGN7Obw7AIP4ptcNT3i1i3jzQ6Fjf5iXqx2V_ijz3d05RYnHNPC7diPVLK2pB8Epsw5Ma5OAdxPQzcepr5X-K0OOqoT_zlZT8p_lxe3G6uyu2vn9eb9bZ0qJs5-9ddTaRJVatKA4GuK3Zmh6AU1aDJtC3uDLUV163WDuoKYbeDWmt2TqI6Kb4d-k4x_H3gNNv78BDH_KXFBldSVyusX6k76tn6sQtzJDf45Oy6QWWaPGaTqbP_UHm1PHgXRu58rr8R4EHg8oxT5M5O0Q8UFyvB7pOzh-RsTs4-J2f3XtRBlDI83nF8dfyO6gmH_psQ</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Zangui, Mahtab</creator><creator>Abdollahi, Abbas</creator><creator>Nooghabi, Mehdi Jabbari</creator><creator>Jangjoo, Ali</creator><creator>Ravan, Reza Roshan</creator><creator>Navari, Yasaman</creator><creator>Shahabi, Fateme</creator><general>Springer India</general><general>Springer</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0001-5681-0078</orcidid></search><sort><creationdate>20221001</creationdate><title>Laparoscopic Proctectomy in Locally Advance Rectal Cancer: Prolapse Delayed Anastomosis Compared to Immediate Anastomosis</title><author>Zangui, Mahtab ; Abdollahi, Abbas ; Nooghabi, Mehdi Jabbari ; Jangjoo, Ali ; Ravan, Reza Roshan ; Navari, Yasaman ; Shahabi, Fateme</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-976f5aa6a348460a0654ec9b2033a506a9dd2b9ad4e5d66c05420bb0566ecc123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cardiac Surgery</topic><topic>Care and treatment</topic><topic>Colorectal cancer</topic><topic>Comparative analysis</topic><topic>Laparoscopic surgery</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metronidazole</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Plastic Surgery</topic><topic>Sepsis</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zangui, Mahtab</creatorcontrib><creatorcontrib>Abdollahi, Abbas</creatorcontrib><creatorcontrib>Nooghabi, Mehdi Jabbari</creatorcontrib><creatorcontrib>Jangjoo, Ali</creatorcontrib><creatorcontrib>Ravan, Reza Roshan</creatorcontrib><creatorcontrib>Navari, Yasaman</creatorcontrib><creatorcontrib>Shahabi, Fateme</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Indian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zangui, Mahtab</au><au>Abdollahi, Abbas</au><au>Nooghabi, Mehdi Jabbari</au><au>Jangjoo, Ali</au><au>Ravan, Reza Roshan</au><au>Navari, Yasaman</au><au>Shahabi, Fateme</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Proctectomy in Locally Advance Rectal Cancer: Prolapse Delayed Anastomosis Compared to Immediate Anastomosis</atitle><jtitle>Indian journal of surgery</jtitle><stitle>Indian J Surg</stitle><date>2022-10-01</date><risdate>2022</risdate><volume>84</volume><issue>5</issue><spage>1014</spage><epage>1019</epage><pages>1014-1019</pages><issn>0972-2068</issn><eissn>0973-9793</eissn><abstract>Locally advance rectal cancer was treated in 144 patients of stages II and III with positive nodes only between 2014 and 17. Combined laparoscopic and trans-anal-rectal excision were performed in all patients, 54 (37.5%) had delayed, and 90 (62.5%) had immediate coloanal anastomoses. Both groups received diverting stoma. Seven patients (4.9%) had pre-sacral collection and anastomotic leakage of which 5 (9.3%) had delayed and 2 (2.2%) had immediate anastomosis. Postoperative obstructions occurred in 5 (9.3%) patients of group delayed and 2 (2.2%) of immediate group. Sepsis and peritonitis was observed in delayed group only—2 (3.7%). One subject died in postoperative due to bleeding and pelvic sepsis in immediate group. Positive circumferential margins above and below were not different between the two groups (
p
= 0.371, 0.631).Overall survival was 86.8% CI 95% = 74.3–93.5 in the delayed group and 75% CI 95% = 64.6–82.8 in the immediate group. Similarly, 5-year survival was 76% CI 95% = 61.6–85.6 and 69.7% CI 95% = 58.5–78.4 for delayed and immediate anastomoses groups respectively. Overall survival was not significantly different between the two groups (related tests
p
= 0.429). We conclude from a non-randomized comparative study that combined laparoscopic and trans-anal excision of locally advanced rectal cancer when treated with delayed anastomosis has somewhat higher surgical complications than immediate anastomosis group. However, no difference was observed in the long- and short-term survival between these 2 groups.</abstract><cop>New Delhi</cop><pub>Springer India</pub><doi>10.1007/s12262-021-03191-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-5681-0078</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0972-2068 |
ispartof | Indian journal of surgery, 2022-10, Vol.84 (5), p.1014-1019 |
issn | 0972-2068 0973-9793 |
language | eng |
recordid | cdi_proquest_journals_2728164825 |
source | EZB Electronic Journals Library; SpringerLink Journals - AutoHoldings |
subjects | Cardiac Surgery Care and treatment Colorectal cancer Comparative analysis Laparoscopic surgery Laparoscopy Medicine Medicine & Public Health Metronidazole Neurosurgery Original Article Pediatric Surgery Plastic Surgery Sepsis Surgery Thoracic Surgery |
title | Laparoscopic Proctectomy in Locally Advance Rectal Cancer: Prolapse Delayed Anastomosis Compared to Immediate Anastomosis |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T18%3A34%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Laparoscopic%20Proctectomy%20in%20Locally%20Advance%20Rectal%20Cancer:%20Prolapse%20Delayed%20Anastomosis%20Compared%20to%20Immediate%20Anastomosis&rft.jtitle=Indian%20journal%20of%20surgery&rft.au=Zangui,%20Mahtab&rft.date=2022-10-01&rft.volume=84&rft.issue=5&rft.spage=1014&rft.epage=1019&rft.pages=1014-1019&rft.issn=0972-2068&rft.eissn=0973-9793&rft_id=info:doi/10.1007/s12262-021-03191-5&rft_dat=%3Cgale_proqu%3EA723971009%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2728164825&rft_id=info:pmid/&rft_galeid=A723971009&rfr_iscdi=true |