Skip to main content
SpringerLink
Log in
Book cover

The SAGES Manual of Strategic Decision Making pp 375–386Cite as

Low Anterior Resection for Carcinoma Below the Peritoneal Reflection

  • Chapter

  • 1121 Accesses

Low anterior resection presents several attractions for the laparoscopic surgeon. First, the unparalleled visualization and exposure that are attained when laparoscopic surgery goes well would seem to facilitate careful dissection in the deep recesses of the pelvis (where visualization during open surgery can be problematic). Second, the anastomosis can be performed by transanal insertion of a circular stapling device, minimizing the length of incision required to complete the procedure.

However, the procedure is fraught with potential complications, including the long-term risk of local recurrence. This chapter explores the issues related to choice of laparoscopic versus open approach for carcinoma below the peritoneal reflection.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Leung KL, Kwok SP, Lam SC, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet 2004;363:1187–1192.

    Article  PubMed  Google Scholar 

  • Wu WX, Sun YM, Hua YB, Shen LZ. Laparoscopic versus conventional open resection of rectal carcinoma: a clinical comparative study. World J Gastroenterol 2004;10(8):1167–1170.

    PubMed  Google Scholar 

  • Zhou ZG, Hu M, Li Y, et al. Laparoscopic vs open total mesorectal excision with anal sphincter preservation for low rectal cancer. Surg Endosc 2004;18:1211–1215.

    Article  PubMed  Google Scholar 

Suggested Readings

  • Barlehner E, Benhidjeb T, Andres S, Schicke B. Laparoscopic resection for rectal cancer: Outcomes in 194 patients and review of the literature. Surg Endosc 2005;19: 757–766.

    Article  CAS  PubMed  Google Scholar 

  • Bretagnol F, Lelong B, Laurent C, et al. The oncological safety of laparoscopic total mesorectal excision with sphincter preservation for rectal carcinoma. Surg Endosc 2005;19:892–896.

    Article  CAS  PubMed  Google Scholar 

  • Breukink SO, Grond AJK, Pierie JPEN, Hoff C, Merijerink WJHS. Laparoscopic vs open total mesorectal excision for rectal cancer: an evaluation of the mesorectum’s macroscopic quality. Surg Endosc 2005;19:307–310.

    Article  CAS  PubMed  Google Scholar 

  • Breukink SO, Pierie JPEN, Grond AJK, Hoff C, Wiggers T, Merijerink WJHS. Laparoscopic versus open total mesorectal excision: a case-control study. Int J Colorectal Dis 2005:20:428–433.

    Article  CAS  PubMed  Google Scholar 

  • Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350:2050-2059.

    Google Scholar 

  • Dahlberg M, Glimelius B. Pahlman L. Changing strategy for rectal cancer is associated with improved outcome. Br J Surg 1999;86:379–384.

    Article  CAS  PubMed  Google Scholar 

  • Davies MM, Larson DW. Laparoscopic surgery for colorectal cancer: the state of the art. Surg Oncol 2004;13:111–118.

    Article  CAS  PubMed  Google Scholar 

  • Dincler S, Koller MT, Steurer J, Bachmann LM, Christen D, Buchmann P. Multidimensional analysis of learning curves in laparoscopic sigmoid resection eight-year results. Dis Colon Rectum 2003;46:1371–1379.

    Article  PubMed  Google Scholar 

  • Dulucq JL, Wintriger P, Stabilin C, Mahajna A. Laparoscopic rectal resection with anal sphincter preservation for rectal cancer. Surg Endosc 2005;19:1468–1474.

    Article  PubMed  Google Scholar 

  • Heald RJ, Karnajia ND. Results of radical surgery for rectal surgery. World J Surg 1992;16:848–857.

    Article  CAS  PubMed  Google Scholar 

  • Kapiteijn E, van De Velde CJ. European trials with total mesorectal excision. Semin Surg Oncol 2000;19:350–357.

    Article  CAS  PubMed  Google Scholar 

  • Lai PBS, Lau WY. Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet 2004;363:1187–1192.

    Article  PubMed  Google Scholar 

  • Leung KL, Kwok SPY, Lam SCW, et al. Laparoscopic total mesorectal excision for rectal cancer surgery. Dig Dis 205;23:135-141.

    Google Scholar 

  • McMullen, TP, Easson AM, Cohen Z, Swallow CJ. The investigation of primary rectal cancer: current pattern of practice. Can J Surg 2005;48(1):19–26.

    PubMed  Google Scholar 

  • Morino M, Allaix ME, Giraudo G, Corno F, Garrone C. Laparoscopic versus open surgery for extraperitoneal rectal cancer: a prospective comparative study. Surg Endosc 2005;19:1460–1467.

    Article  CAS  PubMed  Google Scholar 

  • Pikarsky AJ, Rosenthal R, Weiss EG, Wexner SD. Laparoscopic total mesorectal excision. Surg Endosc 2002;16:558–562.

    Article  CAS  PubMed  Google Scholar 

  • Reza MM, Blasco JA, Andradas E, Cantero R, Mayol J. Systemic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg 2006;93:921–928.

    Article  CAS  PubMed  Google Scholar 

  • Scheidbach H, Rose J, Huegel O, Yildirim C, Kockerling F. Results of laparoscopic treatment of rectal cancer: analysis of 520 patients. Tech Coloproctol 2004;8(Suppl 1): s22–s24.

    Article  PubMed  Google Scholar 

  • Tekkis PP, Senagore AJ, Delaney CP, Fazio V. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left-sided resections. Ann Surg 2005;42:83–91.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

    Nora A. Royer

  2. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Bashar Safar & Steven D. Wexner (Editorial Board Chairman)

  3. Department of General Surgery, University of Connecticut, Integrated General Surgery Residency, Farmington, CT, USA

    Amanda Ayers (Resident)

  4. University of Connecticut, Hartford, CT, USA

    Jeffrey L. Cohen (President, Connecticut Surgical Group, Professor of Clinical Surgery)

Authors
  1. Nora A. Royer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bashar Safar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Steven D. Wexner
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Amanda Ayers
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jeffrey L. Cohen
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

    Carol E. H. Scott-Conner MD, PhD (Professor) (Professor)

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Royer, N.A., Safar, B., Wexner, S.D., Ayers, A., Cohen, J.L. (2008). Low Anterior Resection for Carcinoma Below the Peritoneal Reflection. In: Scott-Conner, C.E.H. (eds) The SAGES Manual of Strategic Decision Making. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76671-3_30

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-76671-3_30

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-76670-6

  • Online ISBN: 978-0-387-76671-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation