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

Abstract

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

Robot-assisted laparoscopic surgery of the colon and rectum

“…Four prospective studies that enrolled a cumulative number of 188 patients with rectal cancer treated by laparoscopy yielded an average of 13.1 harvested lymph nodes [59][60][61][62]. The available studies on rectal resection of the present review with a mean number of 14.3 harvested lymph nodes did not demonstrate inferior results in these terms.…”

A Meta-analysis of the Short- and Long-Term Results of Randomized Controlled Trials That Compared Laparoscopy-Assisted and Conventional Open Surgery for Rectal Cancer

“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] The characteristics of each randomized controlled trial are presented in Table 1 The intraoperative blood loss and the number of transfused patients in the laparoscopic group were significantly lower than in the open group. There was no significant difference in the number of harvested lymph nodes.…”

“…These results are consistent with those of recent randomized controlled trials. 3,6,12 Potential explanations for the abovementioned results include meticulous dissection facilitated by instruments for laparoscopic surgery and videoscopic magnification. [26][27][28] Patients who underwent laparoscopic surgery for rectal cancer resumed oral intake significantly earlier and had significantly shorter hospital stays than did patients who underwent conventional open surgery; this finding suggests that laparoscopic surgery for rectal cancer leads to faster recovery.…”

“…Recently, several randomized controlled trials comparing laparoscopic surgery with open surgery for rectal cancer have been published. [11][12][13][14][15][16][17][18] We conducted a meta-analysis of the data from these randomized controlled trials to compare the short-and long-term outcomes of laparoscopic and open surgery for rectal cancer.…”

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

“…Further studies focussed on The scarce data from different studies show uniformly that costs of the laparoscopic approach are higher than after open surgery [130][131][132][133][134]. Arteaga [135] showed an increase in OR costs that balanced with a shorter hospital stay to make total hospital costs similar. All health economy analyses must be used with care, as differences in national health systems and reimbursement systems differ widely.…”