Laparoscopic surgery for the curative treatment of rectal cancer: results of a Chinese three-center case–control study

Ding, Kefeng; Chen, Rong; Zhang, Jianli; Li, Jun; Xu, Yanbo; Lv, Liang; Wang, Xiaochen; Sun, Long; Wang, Jian Wei; Zhang, Suzhan

doi:10.1007/s00464-008-9990-0

Cited by 19 publications

(22 citation statements)

References 32 publications

(48 reference statements)

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“…Importantly, we also have shown similar overall survival, cancer-specific survival, disease free-survival, and local and distant recurrence rates between the two groups. Regarding short-term results such as reduced length of hospital stay, and similar overall morbidity and mortality, our results were consistent with prior publications comparing open and laparoscopic approach in colorectal surgery, especially the decreased rates of wound infection for LS compared with OS [3,4,6,[10][11][12][13].…”

Section: Discussionsupporting

confidence: 93%

“…The conversion rate in this study (18.6%) was comparable to conversion rates reported in previous studies assessing LS for rectal cancer, which range from 2.9 to 21.9% [6][7][8][9][12][13][14]. Our high conversion rate can be attributed to the fact that all patients who underwent the procedure over a prolonged period were reviewed, thus including patients who underwent surgery during the learning curve for laparoscopic resections.…”

Section: Discussionsupporting

confidence: 83%

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Laparoscopic resection for rectal cancer: a case-matched study

et al. 2010

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 83%

Laparoscopic resection for rectal cancer: a case-matched study

et al. 2010

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“…At the moment, we have a number of noncontrolled series [10][11][12][13][14][15][16] and controlled nonrandomized cases at our disposal [2,[17][18][19][20], leading us to believe that this technique also could be used in the future by centers with less experience. Debate can now move from the technical problems to the oncologic difficulties because the advantages of the mini-invasive approach in the postoperative period have already been demonstrated [21], and because findings also have demonstrated that sexual and urinary sequelae are not more serious than those connected with the open approach [19], as it seemed some years ago [22]. In our series, the conversion rate was particularly low (4.6%).…”

Section: Discussionmentioning

confidence: 80%

“…In our series, the conversion rate was particularly low (4.6%). In the greatest number of papers, the conversion rate is about 15%, reaching 18% for the initial experience [3,17], and varying from 7 to 10% for more recent experience [11,18,21] to 18% [23]. Only in the Strasbourg series was a conversion rate of 3% reported [8].…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic total mesorectal excision for rectal cancer: experience of a single center with a series of 174 patients

et al. 2010

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“…Nonetheless, in a randomized study of only colon cancer patients, it was observed that longer operative times (142X118 minutes) were significantly associated with laparoscopic surgery (p<0,001) 20 . In regards to rectal cancer, a case-control study from three centers also found significantly longer operative times (180X150 minutes) among patients treated laparoscopically (p<0,001) 9 . A 2008 metaanalysis of 25 randomized studies 30 reinforced the findings of longer operative times in laparoscopic colorectal surgery for CRC.…”

Section: Discussionmentioning

confidence: 99%

Ressecções colorretais laparoscópicas e laparotômicas no câncer colorretal

Vendramini

Albuquerque

Schmidt³

et al. 2012

ABCD, arq. bras. cir. dig.

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-Background -Surgical resection is the mainstay of treatment for colorectal cancer with curative intent. Aim -To evaluate the postoperative results of laparoscopic and laparotomic colorectal resections for colorectal cancer. Methods -A retrospective study of a series of 189 patients. The descriptive variables were age and gender, and for outcome were type of resection, number of lymph nodes resected, free margins, the need for colostomy, complications, operative time and hospital stay. They were analyzed using the chi-square, In both pathways, the average number of removed lymph nodes was greater than 12, but laparotomy enabled, more frequently, the resection of 12 or more nodes (p = 0.012). No patient had surgical margins involved, but laparotomy allowed a greater number of patients with a margin greater than 5 cm from the tumor (p = 0.036). Increased number of patients treated by open surgery were hospitalized for more than seven days (p <0.001). There were no statistically significant differences regarding the need for ostomies, complications and mortality. Conclusions -The laparoscopic approach was as safe and effective as laparotomy in the treatment of colorectal cancer, and was associated with increased operative time, shorter hospital stay and less morbidity. ABCDDV/847RESUMO -Racional -A ressecção cirúrgica é o principal elemento do tratamento do câncer colorretal com intenção curativa. Objetivo -Analisar os resultados pós-operatórios de ressecções colorretais laparotômicas e videolaparoscópicas por câncer colorretal. Métodos -Estudo retrospectivo de uma série de 189 pacientes operados. As variáveis descritivas foram idade e gênero, e as de desfecho foram tipo de ressecção, número de linfonodos ressecados, margens, necessidade de ostomia, complicações, tempo operatório e tempo de internação. Elas foram analisadas por meio dos testes do Qui-quadrado, t de student e Mann-Whitney, com nível de significância <0,05. Resultados -Dos 189 pacientes operados, 110 preencheram os critérios de inclusão, sendo 75 (68,2%) operados por cirurgia aberta e 35 (31,8%) por via videolaparoscópica. O cólon sigmóide foi o local mais comum de apresentação da neoplasia e a retossigmoidectomia foi a ressecção colorretal mais realizada, e mais por via aberta (p=0,042). A taxa de conversão foi de 7,9% (3/38). Os pacientes operados por via aberta apresentaram em 81,5% tempo operatório inferior a 180 minutos (p<0,001). Em ambas as vias, o número médio de linfonodos ressecados foi maior que 12, porém a técnica laparotômica permitiu, com maior frequência, a ressecção de 12 ou mais linfonodos (p=0,012). Nenhum paciente apresentou margem cirúrgica comprometida, mas a laparotomia permitiu um maior número de pacientes com margem maior que 5 cm em relação ao tumor (p=0,036). Maior número de pacientes tratados por via aberta esteve internado por tempo superior a sete dias (p<0,001). Não foram encontradas diferenças estatisticamente significantes quanto à necessidade de ostomias, complicações e mortalidade hospitalar. Conclusões -A a...

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Laparoscopic surgery for the curative treatment of rectal cancer: results of a Chinese three-center case–control study

Abstract: The findings showed that LR for rectal cancer was safe and effective, resulting in faster recovery and a similar complication rate compared with OR. Conversion did not alter the patients' outcomes.

Cited by 19 publications

References 32 publications

Laparoscopic resection for rectal cancer: a case-matched study

Laparoscopic resection for rectal cancer: a case-matched study

Laparoscopic total mesorectal excision for rectal cancer: experience of a single center with a series of 174 patients

Ressecções colorretais laparoscópicas e laparotômicas no câncer colorretal

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