Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 10/2004

01-10-2004 | Original article

A comparison of the complication rates between laparoscopic colectomy and laparoscopic low anterior resection

Authors: S. Yamamoto, S. Fujita, T. Akasu, Y. Moriya

Published in: Surgical Endoscopy | Issue 10/2004

Login to get access

Abstract

Background

This study compared the short-term outcomes, including the complication rate and minimum surgical invasiveness, between patients with colon and rectal carcinomas, who underwent laparoscopic surgery.

Methods

A review evaluated 151 patients who underwent laparoscopic colectomy (Lap-colectomy; n = 120) and laparoscopic low anterior resection (Lap-LAR; n = 31) between July 2001 and December 2003. The short-term outcomes were compared between the two groups.

Results

The mean operative time and blood loss were significantly greater in the Lap-LAR group. However, the complication rates and postoperative course between the two approaches were similar, and no anastomotic leakage was observed. There was no significant difference in the serum C-reactive protein level and white blood cell count between the two groups in the early postoperative period.

Conclusions

Lap-LAR for rectal carcinoma can be performed safely without increased morbidity or mortality, and its short-term benefits are comparable with those conferred by Lap-colectomy.
Literature
1.
Anthuber, M, Fuerst, A, Elser, F, Berger, R, Jauch, KW 2003Outcome of laparoscopic surgery for rectal cancer in 101 patientsDis Colon Rectum4610471053PubMed
2.
Bokey, EL, Chapuis, PH, Fung, C, Hughes, WJ, Koorey, SG, Brewer, D, Newland, RC 1995Postoperative morbidity and mortality following resection of the colon and rectum for cancerDis Colon Rectum38480487PubMed
3.
Feliciotti, F, Guerrieri, M, Paganini, AM, Sanctis, A, Campagnacci, R, Perretta, S, D’Ambrosio, G, Lezoche, G, Lezoche, E 2003Long-term results of laparoscopic vs open resections for rectal cancer for 124 unselected patientsSurg Endosc1715301535CrossRefPubMed
4.
Fujita, S, Yamamoto, S, Akasu, T, Moriya, Y 2003Lateral pelvic lymph node dissection for advanced lower rectal cancerBr J Surg9015801585CrossRefPubMed
5.
Hartley, JE, Mehigan, BJ, Qureshi, AE, Duthie, GS, Lee, PWR, Monson, JRT 2001Total mesorectal excision: assessment of the laparoscopic approachDis Colon Rectum44315321PubMed
6.
Hasegawa, H, Kabeshima, Y, Watanabe, M, Yamamoto, S, Kitajima, M 2003Randomized controlled trial of laparoscopic versus open colectomy for advanced colorectal cancerSurg Endosc17636640CrossRefPubMed
7.
Hazebroek, EJ, The Color Study Group,  2002COLOR: a randomized clinical trial comparing laparoscopic and open resection for colon cancerSurg Endosc.16949953CrossRefPubMed
8.
Lacy, AM, García-Valdecasas, JC, Delgado, S, Castells, A, Taurá, P, Piqué, JM, Visa, J 2002Laparoscopic-assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomized trialLancet35922242229CrossRefPubMed
9.
Milsom, JW, Böhm, B, Hammerhofer, KA, Fazio, V, Steiger, E, Elson, P 1998A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary reportAm Coll Surg1874657CrossRefPubMed
10.
Morino, M, Parini, U, Giraudo, G, Salval, M, Brachet Contul, R, Garrone, C 2003Laparoscopic total mesorectal excision: a consecutive series of 100 patientsAnn Surg237335342CrossRefPubMed
11.
Moriya, Y, Sugihara, K, Akasu, T, Fujita, S 1997Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancerWorld J Surg21728732CrossRefPubMed
12.
Nishiguchi, K, Okuda, J, Toyoda, M, Tanaka, K, Tanigawa, N 2001Comparative evaluation of surgical stress of laparoscopic and open surgeries for colorectal carcinomaDis Colon Rectum44223230PubMed
13.
Poulin, EC, Schlachta, CM, Grégoire, R, Seshadri, P, Cadeddu, MO, Mamazza, J 2002Local recurrence and survival after laparoscopic mesorectal resection for rectal adenocarcinomaSurg Endosc16989995CrossRefPubMed
14.
Rullier, E, Sa Cunha, A, Couderc, P, Rullier, A, Gontier, R, Saric, J 2003Laparoscopic intersphincteric resection with coloplasty and coloanal anastomosis for mid and low rectal cancerBr J Surg90445451CrossRefPubMed
15.
Scheidbach, H, Schneider, C, Hügel, O, Scheuerlein, H, Bärlehner, E, Konradt, J, Wittekind, C, Köckerling, F 2003Oncological quality and preliminary long-term results in laparoscopic colorectal surgerySurg Endosc17903910CrossRefPubMed
16.
Takahashi, T, Ueno, M, Azekura, K, Ohta, H 2000Lateral node dissection and total mesorectal excision for rectal cancerDis Colon Rectum43S59S68PubMed
17.
Uchiyama, K, Takifuji, K, Tani, M, Onishi, H, Yamaue, H 2002Effectiveness of the clinical pathway to decrease length of stay and cost for laparoscopic surgeySurg Endosc1615941597CrossRefPubMed
18.
Watanabe, M, Teramoto, T, Hasegawa, H, Kitajima, M 2000Laparoscopic ultralow anterior resection combined with per anum intersphincteric rectal dissection for lower rectal cancerDis Colon Rectum43S94S97PubMed
19.
Yamamoto, S, Watanabe, M, Hasegawa, H, Baba, H, Nishibori, H, Kitajima, M 2003Oncologic outcome of laparoscopic surgery for T1 and T2 colorectal carcinomaHepatogastroenterology50396400PubMed
20.
Yamamoto, S, Watanabe, M, Hasegawa, H, Kitajima, M 2002Prospective evaluation of laparoscopic surgery for rectosigmoidal and rectal carcinomaDis Colon Rectum4516481654PubMed
Metadata
Title
A comparison of the complication rates between laparoscopic colectomy and laparoscopic low anterior resection
Authors
S. Yamamoto
S. Fujita
T. Akasu
Y. Moriya
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/s00464-004-8149-x

Other articles of this Issue 10/2004

Surgical Endoscopy 10/2004 Go to the issue

Erratum

News and notices

Erratum

Laparoscopic adrenalectomy

Original article

Laparoscopic colorectal surgery in obese and nonobese patients: Do differences in body mass indices lead to different outcomes?

Original article

The impact of introducing laparoscopic donor nephrectomy to an established renal transplant program

Original article

Hemorrhagic adrenal pseudocyst: laparoscopic treatment

Original article

The Italian Group for LAP-BAND: predictive value of initial body mass index for weight loss after 5 years of follow-up