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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2005

01-03-2005 | Original article

Laparoscopic versus open total mesorectal excision for rectal cancer: An evaluation of the mesorectum’s macroscopic quality

Authors: S. O. Breukink, A. J. K. Grond, J. P. E. N. Pierie, C. Hoff, T. Wiggers, W. J. H. J. Meijerink

Published in: Surgical Endoscopy | Issue 3/2005

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Abstract

Background

Next to surgical margins, yield of lymph nodes, and length of bowel resected, macroscopic completeness of mesorectal excision may serve as another quality control of total mesorectal excision (TME). In this study, the macroscopic completeness of laparoscopic TME was evaluated.

Methods

A series of 25 patients with rectal cancer were managed laparoscopically (LTME) and included in this study. The pathologic specimens of the LTME group were prospectively examined and matched with a historical group of resection specimens from patients who had undergone open TME (OTME). The two groups were matched for gender and type of resection (low anterior or abdominoperineal resection). Special care was given to the macroscopic judgment concerning the completeness of the mesorectum.

Results

A three-grade scoring system showed no differences between the LTME and OTME groups.

Conclusion

The current study supports the hypothesis that oncologic resection using laparoscopic TME is feasible and adequate.
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Metadata
Title
Laparoscopic versus open total mesorectal excision for rectal cancer: An evaluation of the mesorectum’s macroscopic quality
Authors
S. O. Breukink
A. J. K. Grond
J. P. E. N. Pierie
C. Hoff
T. Wiggers
W. J. H. J. Meijerink
Publication date
01-03-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-9066-8

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