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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2004

01-10-2004 | Original article

Laparoscopic-assisted approach in rectal cancer patients: lessons learned from >200 patients

Authors: S. Delgado, D. Momblán, L. Salvador, R. Bravo, A. Castells, A. Ibarzabal, J. M. Piqué, A. M. Lacy

Published in: Surgical Endoscopy | Issue 10/2004

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Abstract

Background

The applicability of laparoscopic surgery in the treatment of colorectal diseases is still controversial. Early reports on laparoscopic-assisted colectomy in patients with colon cancer suggested that it minimizes surgical trauma, decreases perioperative complications, and leads to a more rapid recovery. To our knowledge, no previous studies have compared the laparoscopic vs the open approach in rectal cancer. The aim of this paper was to assess the results of laparoscopic techniques in patients with rectal cancer.

Methods

From March 1998 to February 2003, all patients admitted to our unit with adenocarcinoma of the rectum were evaluated for surgery by the laparoscopic approach.

Results

A total of 220 patients with a mean age of 67.3 years were included in the study. One hundred thirty patients (59%) were treated with neoadjuvant chemoradiotherapy. In >75% of the patients, a surgical procedure with sphincter preservation was perfomed. The rate of conversion to the open approach was 20%. Ten patients had intraoperative complications. Fifty-eight patients (26.3%) developed postoperative complications. The length of hospital stay was 6.8 days. The distribution of tumor stages was as follows: stage I, 16.81%; stage II, 33.6%; stage III, 26.36%; stage IV, 19.09%. The mean number of lymph nodes was 13.8. The incidence of local relapse was 5.3%, with a follow-up of 18 months.

Conclusion

Laparoscopic surgery can be safely performed in patients with adenocarcinoma of the rectum with good short-term results. Randomized controlled trials are needed to confirm these results.
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Metadata
Title
Laparoscopic-assisted approach in rectal cancer patients: lessons learned from >200 patients
Authors
S. Delgado
D. Momblán
L. Salvador
R. Bravo
A. Castells
A. Ibarzabal
J. M. Piqué
A. M. Lacy
Publication date
01-10-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-8831-4

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