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A comparative clinical study of short-term results of laparoscopic surgery for rectal cancer during the learning curve

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Objectives

The aim of this study was to assess the results of laparoscopic surgery for rectal carcinoma (LSRC) during the learning curve throughout the introduction of this technique at our medical center.

Materials and methods

From January 2003 to April 2004, 40 patients undergoing surgery were assigned to laparoscopic surgery group (LSG) (n=20) or conventional surgery group (CSG) (n=20). Data were prospectively collected to statistically analyze clinical, anatomopathological, and economic variables.

Results

Groups were comparable in age, sex, body mass index, American Society of Anesthesiologists score, surgical technique performed, tumor size and distance, Dukes’ stage, and proportion of patients with previous abdominal surgery and radiotherapy. There was no difference in operative time. LSG blood loss was lower (p<.0001). LSG peristalsis and oral intake began earlier (p<.0001). LSG hospital stay was shorter (p<.0001). Intraoperative complications (10% LSG vs 15% CSG) and overall morbidity (35% LSG vs 45% CSG) were no different. LSG did not record any anastomotic leakages. Two patients (10%) were converted to open surgery. Regarding oncologic adequacy of resection, specimen length and number of nodes harvested were no different. LSG distal and radial resection margins were greater (p<.0001; p=.03). LSG operative costs were greater (p<.0001). However, CSG hospitalization costs were higher (p<.001). There was no overall difference (p=0.1).

Conclusions

LSRC has been a reliable and efficient technique during the learning curve at our hospital.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Hospital Universitario de Canarias (HUC), Ofra, s/n. La Cuesta, 38320 La Laguna, Santa Cruz de Tenerife, Canary Islands, Spain

    Ivan Arteaga González, Hermógenes Díaz Luis, Antonio Martín Malagón, Eudaldo M. López-Tomassetti Fernández & Ángel Carrillo Pallares

  2. Department of Anesthesiology, Hospital Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain

    Javier Arranz Duran

Authors
  1. Ivan Arteaga González
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  2. Hermógenes Díaz Luis
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  3. Antonio Martín Malagón
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  4. Eudaldo M. López-Tomassetti Fernández
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  5. Javier Arranz Duran
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  6. Ángel Carrillo Pallares
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Correspondence to Ivan Arteaga González.

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Arteaga González, I., Díaz Luis, H., Martín Malagón, A. et al. A comparative clinical study of short-term results of laparoscopic surgery for rectal cancer during the learning curve. Int J Colorectal Dis 21, 590–595 (2006). https://doi.org/10.1007/s00384-005-0057-6

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  • DOI: https://doi.org/10.1007/s00384-005-0057-6

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