Short-term follow-up after laparoscopic versus conventional total mesorectal excision for low rectal cancer in a large teaching hospital

Purpose Laparoscopic resection for low rectal cancer remains controversial, and large randomized studies on oncologic outcome are lacking. The objective of this study was to analyze the short-term results of laparoscopic resection versus conventional total mesorectal excision (TME) for low rectal ca...

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Bibliographic Details
Published in:International journal of colorectal disease 2014, Vol.29 (1), p.117-125
Main Authors: Schiphorst, A. H. W., Doeksen, A., Hamaker, M. E., Zimmerman, D. D. E., Pronk, A.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Colorectal cancer
Digestive System Surgical Procedures - methods
Female
Follow-Up Studies
Gastroenterology
Hepatology
Hospitals, Teaching
Humans
Internal Medicine
Kaplan-Meier Estimate
Laparoscopic surgery
Laparoscopy
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Proctology
Proportional Hazards Models
Rectal Neoplasms - surgery
Rectum - pathology
Rectum - surgery
Surgery
Time Factors
Treatment Outcome
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Summary:Purpose Laparoscopic resection for low rectal cancer remains controversial, and large randomized studies on oncologic outcome are lacking. The objective of this study was to analyze the short-term results of laparoscopic resection versus conventional total mesorectal excision (TME) for low rectal cancer (≤10 cm from the anal verge). Methods The institutional colorectal surgery database was reviewed, and 166 consecutive patients operated for low rectal cancer between 2006 and 2011 were included in this analysis which focuses on the first 18 months of follow-up. Results Eighty patients underwent conventional TME, whereas 86 patients underwent laparoscopic TME. Patient characteristics were comparable between groups. Conversion rate was 17 %. Laparoscopic rectal resection resulted in significantly less blood loss (200 versus 475 ml, p  = 
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-013-1768-8