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World Journal of Surgery

, Volume 37, Issue 3, pp 646–651 | Cite as

Laparoscopic Versus Open Surgery for Stage I Rectal Cancer: Long-term Oncologic Outcomes

  • Seung Duk Lee
  • Sung Chan Park
  • Ji Won Park
  • Dae Yong Kim
  • Hyo Seong Choi
  • Jae Hwan Oh
Article

Abstract

Background

Laparoscopic resection is increasingly being performed for rectal cancer. However, few data are available to compare long-term outcomes after open versus laparoscopic surgery for early-stage rectal cancer.

Methods

Included in this retrospective study were 160 patients who underwent surgery for stage I rectal cancer between 2001 and 2008. Perioperative outcomes, overall survival (OS), and disease-free survival (DFS) were compared for open versus laparoscopic surgery.

Results

Altogether, 85 patients were treated using open surgery and 80 with laparoscopic surgery. Postoperative mortality (0 vs. 1.3 %; p = 1.00), morbidity (31.3 vs. 25.0 %; p = 0.38), and harvested lymph nodes (22.5 vs. 20.0; p = 0.84) were similar for the two groups. However, operating time was longer (183.8 vs. 221.0 min; p = 0.008), volume of intraoperative bleeding was less (200.0 vs. 150.0 ml; p = 0.03), time to first bowel movement was shorter (3.54 vs. 2.44 days; p < 0.001), rate of superficial surgical-site infection was lower (7.5 vs. 0 %; p = 0.03), and postoperative hospital stay was shorter (11.0 vs. 8.0 days; p < 0.001) in the laparoscopy group than in the open surgery group. At 5 years, there was no difference in OS (98.6 vs. 97.1 %; p = 0.41) or DFS (98.2 vs. 96.4 %; p = 0.30) between the open and laparoscopy groups.

Conclusions

Long-term outcomes of laparoscopic surgery for stage I rectal cancer were comparable to those of open surgery. Laparoscopic surgery, however, produced more favourable short-term outcomes than open surgery.

Keywords

Rectal Cancer Laparoscopic Surgery Total Mesorectal Excision Laparoscopy Group Advanced Rectal Cancer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgment

This study was supported by a grant from the National Cancer Center of Korea (grant no. 0910200).

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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Seung Duk Lee
    • 1
    • 2
  • Sung Chan Park
    • 2
  • Ji Won Park
    • 2
  • Dae Yong Kim
    • 2
  • Hyo Seong Choi
    • 2
  • Jae Hwan Oh
    • 2
  1. 1.Department of SurgerySeoul National University College of MedicineSeoulKorea
  2. 2.Center for Colorectal Cancer, Research Institute and HospitalNational Cancer CenterGoyang-siKorea

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