Laparoscopic low anterior resection for early rectal cancer.
Title | Laparoscopic low anterior resection for early rectal cancer. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Kosmidis, C., Efthimiadis C., Anthimidis G., Grigoriou M., Fotiadis P., Vasiliadou K., Mekras D., Ioannidou G., Baka S., & Basdanis G. |
Journal | Tech Coloproctol |
Volume | 15 Suppl 1 |
Pagination | S75-7 |
Date Published | 2011 Oct |
ISSN | 1128-045X |
Keywords | Adenocarcinoma, Aged, Follow-Up Studies, Humans, Laparoscopy, Length of Stay, Middle Aged, Pulmonary Atelectasis, Rectal Neoplasms, Surgical Wound Infection, Time Factors, Treatment Outcome |
Abstract | INTRODUCTION: Early rectal cancer (ERC) is adenocarcinoma that has invaded into, but not extended beyond, the submucosa. Endoscopic or minimal access surgical procedures, such as laparoscopic resection, have emerged as a useful tool in the surgical treatment of such diseases. The aim of this study is to present and analyze the feasibility, the short- and long-term results of laparoscopic colorectal surgery (LCS) in patients with ERC.PATIENTS AND METHODS: Between 2002 and 4/2011, a total of 164 patients with colorectal cancer underwent laparoscopic surgery (LS). Of these, 7 patients (4.2%) had ERC and underwent laparoscopic anterior resection (LAR). The median follow-up was 41 months.RESULTS: The mean operative time was 2.5 h. None of the laparoscopic procedures was converted to open surgery. Liquids and solid food were started on median postoperative days 1 and 3, respectively. The median length of postoperative stay was 5 days. Postoperative complications occurred in 2 patients (28.5%), including wound infection in one patient (14.2%) and atelectasis in one patient (14.2%). None of the patients required an urgent re-operation. There was no mortality related to LS.CONCLUSIONS: LS for ERC can be used as a strategy sited between endoscopic mucosal resection and open anterior resection with beneficial long- and short-term results. It appears as a technically and oncologically safe procedure when performed by surgeons with sufficient experience in laparoscopic techniques. |
DOI | 10.1007/s10151-011-0737-x |
Alternate Journal | Tech Coloproctol |
PubMed ID | 21901517 |