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01-12-2017 | Original Article

Laparoscopic Versus Open Approach for Intersphincteric Resection—Results from a Tertiary Cancer Center in India

Authors: Vishwas D. Pai, Pavan Sugoor, Prachi S. Patil, Vikas Ostwal, Reena Engineer, Supreeta Arya, Ashwin Desouza, Avanish P. Saklani

Published in: Indian Journal of Surgical Oncology | Issue 4/2017

Abstract

The study aims to compare open intersphincteric resection (OISR) with laparoscopic intersphincteric resection (LISR) in terms of short-term oncological and clinical outcomes. This is a retrospective review of a prospectively maintained database including all the patients of rectal cancer who underwent intersphincteric resection (ISR) at Tata Memorial Centre between 1st July 2013 and 30th November 2015. Short-term oncological parameters evaluated included circumferential resection margin involvement (CRM), distal resection margin involvement, and number of nodes harvested. Perioperative outcomes included blood loss, length of hospital stay and 30-day postoperative morbidity and mortality. Chi-square test was used to compare the results between the two groups. Thirty nine cases of OISR and 34 cases of LISR were included in the study. Median BMI was higher in LISR group; otherwise, the two groups were comparable in all aspects. There were no conversions in LISR group. CRM involvement was seen in four patients (10%) in the conventional group compared to none in the LISR group. Median hospital stay was comparable between the two groups. Laparoscopic ISR is safe and can be performed with low conversion rate in selected group of patients.

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Title: Laparoscopic Versus Open Approach for Intersphincteric Resection—Results from a Tertiary Cancer Center in India
Authors: Vishwas D. Pai
Pavan Sugoor
Prachi S. Patil
Vikas Ostwal
Reena Engineer
Supreeta Arya
Ashwin Desouza
Avanish P. Saklani
Publication date: 01-12-2017
Publisher: Springer India
Published in: Indian Journal of Surgical Oncology / Issue 4/2017
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-017-0672-z

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Laparoscopic Versus Open Approach for Intersphincteric Resection—Results from a Tertiary Cancer Center in India

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