Abstract
PURPOSE: This study was undertaken to compare postoperatively laparoscopic (LAR) with open (OAR) anterior resection in patients with rectosigmoid cancers. METHODS: Forty consecutive patients were divided into two groups: 20 patients (9 males) were allocated to LAR and 20 patients (6 males) to OAR. RESULTS: Median age in the LAR group was 62 (range, 39–77) years, and in the OAR group, it was 61 (range, 43–84) years (P=0.9). Median lengths of the distal margin of clearance beyond the tumor were 4 (range, 2–8) cm and 4.5 (range, 3–7.5) cm in the LAR and OAR groups, respectively (P=0.35). Median numbers of lymph nodes harvested were 20 (range, 7–49) and 19 (range, 7–97) for the LAR and OAR groups, respectively (P=0.44). Median operating times were 90 (range, 55–185) minutes and 73 (range, 40–140) minutes in the LAR and OAR groups, respectively (P=0.08). Blood losses were 50 (range, 50–800) ml and 50 (range, 50–1,500) ml in the LAR and OAR groups, respectively. There was no intraoperative complication in either group, and no laparoscopic patient was converted to an open procedure. Median length of extraction site incision in the LAR group was 5.5 (4–13) cm, and length of incision in the OAR group was 18 (8–25) cm (P<0.002). CONCLUSION: There were no significant differences between the two groups with regard to duration of parenteral analgesia, starting of fluid and solid diet after surgery, or time to first bowel movement and time to discharge from the hospital.
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References
Monson JR, Hill AD, Darzi A. Laparoscopic colonic surgery. Br J Surg 1995;82:150–7.
O'Rourke NA, Heald RJ. Laparoscopic surgery for colorectal cancer. Br J Surg 1993;80:1129–30.
Ota DM. Laparoscopic colectomy for cancer: a favourable opinion. Ann Surg Oncol 1995;2:3–5.
Berman IR. Laparoscopic colectomy for colorectal cancer: some cause of pause. Ann Surg Oncol 1995;2:1–2.
Ortega AE, Beart RW Jr, Steele GD Jr, Winchester DP, Greene FL. Laparoscopic bowel surgery registry: preliminary results. Dis Colon Rectum 1995;38:681–6.
Senagore AJ, Luchtefeld MA, Mackeigan JM, Mazier WP. Open colectomyversus laparoscopic colectomy: are there differences? Am Surg 1993;59:549–54.
Falk PM, Beart RW Jr, Wexner SD, et al. Laparoscopic colectomy: a critical appraisal. Dis Colon Rectum 1993;36:28–34.
Tate JT, Kwok S, Dawson JK, Lau WY, Li AK. Prospective comparison of laparoscopic and conventional anterior resection. Br J Surg 1993;80:1396–8.
Dean PA, Beart RW Jr, Nelson H, Elftmann TD, Schlinkert RT. Laparoscopic-assisted segmental colectomy: early Mayo Clinic experience. Mayo Clin Proc 1994;69:834–40.
Wexner SD, Cohen SM. Port site metastases after laparoscopic colorectal surgery for cure of malignancy. Br J Surg 1995;82:295–8.
Jacquet P, Averbach AM, Stephens AD, Sugarbaker PH. Cancer recurrence following laparoscopic colectomy: report of two patients treated with intraperitoneal chemotherapy. Dis Colon Rectum 1995;38:1110–4.
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Goh, Y.C., Eu, K.W. & Seow-Choen, F. Early postoperative results of a prospective series of laparoscopic vs. open anterior resections for rectosigmoid cancers. Dis Colon Rectum 40, 776–780 (1997). https://doi.org/10.1007/BF02055431
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DOI: https://doi.org/10.1007/BF02055431