Laparoscopic versus open total mesorectal excision with anal sphincter preservation for low rectal cancer

Zhou, Zong‐Guang; Hu, Meijuan; Li, Y.; Lei, Wenhua; Yu, Yanyan; Cheng, Zheyu; Li, L.; Ye, Shu; Wang, T. C.

doi:10.1007/s00464-003-9170-1

Cited by 265 publications

(290 citation statements)

References 34 publications

(35 reference statements)

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“…Despite this, the better short term recovery of the LAC group could be demonstrated by the fewer days spent in the ICU and shorter hospital stay. This has been demonstrated in most of the other series as well [5,[10][11][12][13][14]16].…”

Section: Resultsmentioning

confidence: 56%

“…This is reflected by the fact that many large multicenter trials except MRC-CLASSIC have not included patients with rectal cancer [9]. However, there are 5 randomized trials published till date and that have demonstrated comparable short term outcome of laparoscopic and open surgery [4,6,[9][10][11][12][13][14][15]. Our study also shows comparable short term outcome of the LAC group with relatively early recovery following surgery.…”

Section: Resultsmentioning

confidence: 63%

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Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

et al. 2010

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Laparoscopic approach for treatment of colorectal malignancy is gaining acceptance gradually; however the benefits of laparoscopic surgery in colonic and rectal tumours is still open to debate. This study aims at a retrospective analysis of operative and short term outcome of patients with rectosigmoid tumours. A retrospective analysis of operative, postoperative and short-term outcome of 62 patients who underwent laparoscopic colorectal resection for cancer of rectosigmoid region were compared with a same number of parameters-matched patients who underwent open colorectal resection. Blood transfusion requirement was significantly more in the open group compared to the laparoscopy group (38.7% versus 6.4%, p=0.001). ICU stay was less in the laparoscopy group (p=<0.05) and they were started on oral liquid diet earlier (p=0.013). The number of the lymph nodes retrieved, positive distal margin and radial involvement were similar in both groups. The hospital stay was significantly shorter in laparoscopy group (8.4 versus 13.8 days, p < 0.05). Radical operation for rectosigmoid tumors is technically feasible with laparoscopic surgery. Laparoscopic approach is associated with less blood loss, transfusion and significantly less ICU stay. Laparoscopic group recovers early and needs less hospital stay

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Section: Resultsmentioning

confidence: 56%

Section: Resultsmentioning

confidence: 63%

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

et al. 2010

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“…It is important is to preserve the parasympathetic sacral nerve roots from S2 to S4. Dissection proceeds down to the pelvic floor [75][76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: (100% [Strong Consensus]; Gor C: 100% [Strong Consensus])mentioning

confidence: 99%

“…The rectum is transected at the level of the pelvic floor by means of a roticulating endostapler device [75][76][77][78][79][80][81][82][83][84][85][86][87][88], using as few cartridges as possible. Use of more than two cartridges has been reported to result in a higher anastomotic leakage rate [89,90].…”

Section: (100% [Strong Consensus]; Gorb: 100% [Strong Consensus])mentioning

confidence: 99%

“…After visualization of the left ureter, the IMA is dissected free and is divided between clips, endostapler or sealing device at high or low tie level. Low tie level will permit preservation of the left colonic artery and better protection of the hypogastric plexus on the aorta [71,[75][76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: 7% [Consensus]; Gor A: 857% [Consensus])mentioning

confidence: 99%

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

et al. 2011

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Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

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Risk Factors for Anastomotic Leakage After Anterior Resection for Rectal Cancer

Kang¹,

Halabi²,

Chaudhry³

et al. 2013

JAMA Surg

341

237

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Laparoscopic versus open total mesorectal excision with anal sphincter preservation for low rectal cancer

Abstract: Totally laparoscopic TME with ASP is feasible, and it is a minimally invasive technique with the benefits of much less blood loss during operation, earlier return of bowel function, and shorter hospitalization.

Cited by 265 publications

References 34 publications

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

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

Risk Factors for Anastomotic Leakage After Anterior Resection for Rectal Cancer

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