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A comparison of the complication rates between laparoscopic colectomy and laparoscopic low anterior resection

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Abstract

Background

This study compared the short-term outcomes, including the complication rate and minimum surgical invasiveness, between patients with colon and rectal carcinomas, who underwent laparoscopic surgery.

Methods

A review evaluated 151 patients who underwent laparoscopic colectomy (Lap-colectomy; n = 120) and laparoscopic low anterior resection (Lap-LAR; n = 31) between July 2001 and December 2003. The short-term outcomes were compared between the two groups.

Results

The mean operative time and blood loss were significantly greater in the Lap-LAR group. However, the complication rates and postoperative course between the two approaches were similar, and no anastomotic leakage was observed. There was no significant difference in the serum C-reactive protein level and white blood cell count between the two groups in the early postoperative period.

Conclusions

Lap-LAR for rectal carcinoma can be performed safely without increased morbidity or mortality, and its short-term benefits are comparable with those conferred by Lap-colectomy.

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Authors and Affiliations

  1. Division of Colorectal Surgery, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    S. Yamamoto, S. Fujita, T. Akasu & Y. Moriya

Authors
  1. S. Yamamoto
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  2. S. Fujita
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  3. T. Akasu
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  4. Y. Moriya
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Corresponding author

Correspondence to S. Yamamoto.

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Yamamoto, S., Fujita, S., Akasu, T. et al. A comparison of the complication rates between laparoscopic colectomy and laparoscopic low anterior resection. Surg Endosc 18, 1447–1451 (2004). https://doi.org/10.1007/s00464-004-8149-x

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  • DOI: https://doi.org/10.1007/s00464-004-8149-x

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