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A case-matched comparison of the short-term outcomes between laparoscopic and open abdominoperineal resection for rectal cancer

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Abstract

Purpose

The aim of this study was to evaluate the short-term surgical outcomes of laparoscopic abdominoperineal resection (APR) for rectal cancer, by comparing it with a case–control series of open APR.

Methods

Fourteen patients with rectal cancer who underwent laparoscopic APR between August 2004 and November 2011 were compared with the open APR group of 14 patients matched for age, gender, and surgical procedure.

Results

There were no cases of conversion to laparotomy in the laparoscopic APR group and no mortality in either of the groups. The median operation was longer (P = 0.002), but the median amount of blood loss was smaller (P = 0.019), in the laparoscopic APR group. The median length of hospital stay of the laparoscopic APR group was 8 days, shorter than that of the open APR group (16 days, P < 0.001). The changes of the WBC count and serum CRP level after operations were significantly smaller in the laparoscopic APR group (P < 0.05). There were no significant differences between the groups in terms of the perioperative morbidity and readmission rates within 30 days.

Conclusion

Patients undergoing laparoscopic APR had superior perioperative outcomes to those undergoing open APR, except for the longer operation.

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Conflict of interest

The authors have no conflicts of interest to declare.

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Authors and Affiliations

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

    Ryo Inada, Seiichiro Yamamoto, Taihei Oshiro, Masashi Takawa, Shin Fujita & Takayuki Akasu

  2. Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Ryo Inada

Authors
  1. Ryo Inada
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  2. Seiichiro Yamamoto
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  3. Taihei Oshiro
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  4. Masashi Takawa
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  5. Shin Fujita
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  6. Takayuki Akasu
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Corresponding author

Correspondence to Seiichiro Yamamoto.

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Inada, R., Yamamoto, S., Oshiro, T. et al. A case-matched comparison of the short-term outcomes between laparoscopic and open abdominoperineal resection for rectal cancer. Surg Today 44, 640–645 (2014). https://doi.org/10.1007/s00595-013-0611-8

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  • DOI: https://doi.org/10.1007/s00595-013-0611-8

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