Laparoscopic resection of extraperitoneal rectal cancer: a comparative analysis with open resection

被引：41
作者：
Park, In Ja [1 ]
Choi, Gyu-Seog [1 ]
Lim, Kyung-Hoon [1 ]
Kang, Byung-Mo [1 ]
Jun, Soo-Han [1 ]
机构：
[1] Kyungpook Natl Univ, Sch Med, Kyungpook Natl Univ Hosp, Dept Surg,Div Colorectal Surg, Taegu, South Korea
来源：
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2009年 / 23卷 / 08期
关键词：
Laparoscopic; Open; Extraperitoneal; Rectal carcinoma; TOTAL MESORECTAL EXCISION; LOCAL RECURRENCE; ANTERIOR RESECTION; PROGNOSTIC-FACTORS; OPEN SURGERY; CARCINOMA; ANASTOMOSIS; EXPERIENCE; OUTCOMES; LEAKAGE;
D O I：
10.1007/s00464-008-0265-6
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The aim of this study was to compare the outcomes of laparoscopic surgery with those of open resection in patients with extraperitoneal rectal cancer. Five hundred forty-four patients with extraperitoneal rectal cancer who underwent curative resection between 1996 and 2007 were included. Patients were divided into a laparoscopic surgery group (LAP, n = 170) and an open surgery group (OPEN, n = 374). Morbidity requiring surgical correction was 5.8% in the LAP group and 4.8% in the OPEN group (p = 0.75). The anastomotic leakage rate was similar in both groups (5.7% in both; p = 0.98). Differences were found in preoperative carcinoembryonic antigen (CEA) (LAP group 4.6 ng/ml, OPEN group 7.7 ng/ml, p = 0.001), sphincter preservation (LAP group 82.9%, OPEN group 69.8%, p = 0.001), and mean distance from anal verge (LAP group 4.6 cm, OPEN group 5.2 cm, p = 0.002). Local recurrence and metastasis were similar by stage. The results of this study show that laparoscopic resection of extraperitoneal rectal cancer was safe and effective.
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页码：1818 / 1824
页数：7
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