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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 4/2007

01-04-2007 | Original article

Laparoscopic anterior resection and total mesorectal excision for rectal cancer: a prospective nonrandomized study

Authors: C. Palanivelu, K. Sendhilkumar, Kalpesh Jani, P. S. Rajan, G. S. Maheshkumar, Roshan Shetty, R. Parthasarthi

Published in: International Journal of Colorectal Disease | Issue 4/2007

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Abstract

Background

The purpose of this study was to present our experience of laparoscopic total mesorectal resection, including ultralow resection and coloanal anastomosis.

Materials and methods

Between 1993 and 2005, patients fit for general anesthesia, with resectable cancers, and with lower edge of tumor beyond 5 cm of the anal verge were subjected to laparoscopic anterior resection with sphincter preservation. Double stapling technique is used to establish bowel continuity.

Results

A total of 170 patients, 88 males and 82 females, were subjected to successful laparoscopic anterior resection, which included high anterior resection (n=90), low anterior resection (n=52), ultralow anterior resection (n=20), and coloanal anastomosis (n=8). The average age of patients was 58.4 years (12–90 years). Mean operating time was 130 min and mean hospital stay was 7 days. The morbidity was 13.5% with nil mortality. With an average follow-up of 49 months (range 9 years to 3 months), 9 patients developed local recurrence and 45 patients developed distant metastasis.

Conclusion

In selected cases, laparoscopic anterior resection is possible for all levels of rectal tumors, allowing sphincter preservation and maintaining oncological safety.
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Metadata
Title
Laparoscopic anterior resection and total mesorectal excision for rectal cancer: a prospective nonrandomized study
Authors
C. Palanivelu
K. Sendhilkumar
Kalpesh Jani
P. S. Rajan
G. S. Maheshkumar
Roshan Shetty
R. Parthasarthi
Publication date
01-04-2007
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 4/2007
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-006-0165-y

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