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01-07-2014 | Original Article

Laparoscopic Salvage Surgery for Locally Recurrent Rectal Cancer

Authors: Toshiya Nagasaki, Takashi Akiyoshi, Masashi Ueno, Yosuke Fukunaga, Satoshi Nagayama, Yoshiya Fujimoto, Tsuyoshi Konishi, Toshiharu Yamaguchi

Published in: Journal of Gastrointestinal Surgery | Issue 7/2014

Abstract

Background

Surgical treatment for locally recurrent rectal cancer is challenging, and the value of laparoscopic surgery in such cases is unknown. The purpose of this study was to compare the feasibility of laparoscopic surgery with that of open surgery for locally recurrent rectal cancer.

Methods

Thirty patients with local rectal cancer recurrence at the anastomotic site or lateral pelvic lymph nodes were evaluated. Perioperative outcomes were compared between the laparoscopic (n = 13) and open (n = 17) groups.

Results

The median operation time was significantly longer (381 vs. 241 min) but the median estimated blood loss tended to be smaller (110 vs. 450 mL) in the laparoscopic than in the open group. There was only one converted case (7.7 %). The R0 resection rate (100 vs. 94 %) and postoperative complications (31 vs. 24 %) were not significantly different between the two groups. The median times to flatus (1 vs. 2 days), first stool (2 vs. 5 days), and oral intake (2 vs. 5 days) were significantly shorter in the laparoscopic than in the open group.

Conclusion

Laparoscopic surgery for locally recurrent rectal cancer has short-term benefits over open surgery and has potential as a treatment option for locally recurrent rectal cancer.

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Title: Laparoscopic Salvage Surgery for Locally Recurrent Rectal Cancer
Authors: Toshiya Nagasaki
Takashi Akiyoshi
Masashi Ueno
Yosuke Fukunaga
Satoshi Nagayama
Yoshiya Fujimoto
Tsuyoshi Konishi
Toshiharu Yamaguchi
Publication date: 01-07-2014
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 7/2014
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-014-2537-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic Salvage Surgery for Locally Recurrent Rectal Cancer

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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