Short-and midterm outcomes of laparoscopic surgery compared for 131 patients with rectal and rectosigmoid cancer

This study aimed to clarify and compare the short- and midterm surgical outcomes of laparoscopic surgery for rectal and rectosigmoid cancer. Between June 1992 and December 2004, 131 selected patients with cancer of the rectum (n = 60) and rectosigmoid (n = 71) underwent laparoscopic surgery. The ind...

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Veröffentlicht in:Surgical endoscopy 2007-06, Vol.21 (6), p.920-924
Hauptverfasser: HASEGAWA, H, ISHII, Y, NISHIBORI, H, ENDO, T, WATANABE, M, KITAJIMA, M
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container_end_page 924
container_issue 6
container_start_page 920
container_title Surgical endoscopy
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creator HASEGAWA, H
ISHII, Y
NISHIBORI, H
ENDO, T
WATANABE, M
KITAJIMA, M
description This study aimed to clarify and compare the short- and midterm surgical outcomes of laparoscopic surgery for rectal and rectosigmoid cancer. Between June 1992 and December 2004, 131 selected patients with cancer of the rectum (n = 60) and rectosigmoid (n = 71) underwent laparoscopic surgery. The indications for laparoscopy included a preoperative diagnosis of T1/T2 tumor in the rectum and T1-T3 tumors in the rectosigmoid. The mean follow-up period was 42 months. The procedures included anterior resection for 117 patients, abdominoperineal resection for 11 patients, Hartmann's procedure for 1 patient, and restorative proctocolectomy for 1 patient. Conversion to an open procedure occurred for four patients (3.1%). Postoperative complications developed in 29 patients (22.1%), including anastomotic leakage in 14 patients (11.8%). The length of hospital stay for the rectal cases was significantly longer than for the rectosigmoid cases (10 vs 7 days; p = 0.0049). The tumor node metastasis (TNM) stages included 0 (n = 14), I (n = 72), II (n = 15), III (n = 29), and IV (n = 1). Recurrences were experienced by 13 patients, including local recurrence (n = 7) and recurrences involving the liver ((n = 2), lung (n = 3), and distant lymph nodes (n = 1). The 5-year disease-free and overall survival rates were, respectively 91.7% and 97.9% for stage I, 86.7% and 90.9% for stage II, and 77.1% and 90.0% for stage III. Laparoscopic surgery is feasible and safe for selected patients with rectal or rectosigmoid cancer. The selected patients in this study experienced favorable short- and midterm outcomes.
doi_str_mv 10.1007/s00464-006-9132-5
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Colectomy
Digestive system. Abdomen
Endoscopy
Feasibility Studies
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy
Male
Medical sciences
Middle Aged
Neoplasm Staging
Rectal Neoplasms - pathology
Rectal Neoplasms - surgery
Sigmoid Neoplasms - pathology
Sigmoid Neoplasms - surgery
Stomach, duodenum, intestine, rectum, anus
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Survival Analysis
Time Factors
Treatment Outcome
Tumors
title Short-and midterm outcomes of laparoscopic surgery compared for 131 patients with rectal and rectosigmoid cancer
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