Laparoscopic resection for rectal cancer: A prospective analysis of thirty-month follow-up outcomes in 312 patients
- Authors
- Kim S.-H.; Park I.-J.; Joh Y.-G.; Hahn K.-Y.
- Issue Date
- 2006
- Keywords
- Laparoscopic resection; Mid-term outcome; Prospective; Rectal cancer
- Citation
- Surgical Endoscopy and Other Interventional Techniques, v.20, no.8, pp 1197 - 1202
- Pages
- 6
- Indexed
- SCOPUS
- Journal Title
- Surgical Endoscopy and Other Interventional Techniques
- Volume
- 20
- Number
- 8
- Start Page
- 1197
- End Page
- 1202
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/19317
- DOI
- 10.1007/s00464-005-0599-2
- ISSN
- 0930-2794
1432-2218
- Abstract
- Background: This study aimed to prospectively evaluate operative safety and mid-term oncologic outcomes of laparoscopic rectal cancer resection performed by a single surgeon. Methods: Three hundreds twelve patients (male, 181) were enrolled in this analysis. 257 patients (82.4%) had tumors located below 12 cm from the anal verge. Distribution of TNM stages was 0:I:II:III:IV = 4.2%:17.9%:32.4%:37.2%:8.3%. 225 patients (71.1%) had T3/T4 lesions. Pre- and post-operative radiation was given in 6 and 20 patients, respectively. Results: Sphincter-preserving operation was performed in 85.9%. Mean operating time was 212 minutes. Conversion rate was 2.6%. Overall morbidity rate was 21.1%. Anastomotic leakage occurred in 6.4%. Operative mortality rate was 0.3%. Mean number of harvested nodes was 23. Mean distal tumor-free margin was 2.8 cm. The circumferential resection margin was positive in 13 patients (4.2%). With a mean follow-up of 30 months in the stage I-III patients, the local recurrence rate was 2.9%. Systemic recurrence occurred in 11.7%. No port-site recurrence was observed. Conclusion: Laparoscopic resection of rectal cancer provided safe operative parameters and adequate mid-term oncologic outcomes. When considering a high volume of advanced and low-lying cancers but rather narrow indication to radiotherapy, the 2.9% local recurrence rate seems promising data. Long-term follow-up is mandatory to draw conclusion. © Springer Science+Business Media, Inc. 2006.
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- Appears in
Collections - 2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles
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