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Journal of Gastrointestinal Surgery

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01-08-2010 | Original Article

Can Adequate Lymphadenectomy be Obtained by Laparoscopic Resection in Rectal Cancer? Results of a Case–Control Study in 200 Patients

Authors: Samer Sara, Gilles Poncet, David Voirin, Marie-Hélène Laverriere, Daniel Anglade, Jean-Luc Faucheron

Published in: Journal of Gastrointestinal Surgery | Issue 8/2010

Abstract

Aim

The aim of this study is to compare pathological findings in rectal cancer specimens obtained by laparoscopy or laparotomy.

Materials and Methods

Bowel length, distal and circumferential margins, and number of total and positive nodes harvested were prospectively recorded in specimens obtained from 100 consecutive patients who had a laparoscopic total mesorectal excision for cancer. These data were compared with those extracted from a well-matched group of 100 patients who had an open procedure.

Results

The mean length of the specimens was 31.04 cm in the case group and 29.45 cm in the control group (not significant (NS)). All distal margins in both groups were negative. The circumferential margin was positive in four cases in the case group and nine cases in the control group (NS). The mean number of lymph nodes harvested was 13.76 nodes/patient in the case group and 12.74 nodes/patient in the control group (NS). The mean number of involved lymph nodes was 1.18 node/case in the case group and 1.96 node/case in group 2 (NS).

Conclusion

There is no difference between laparoscopic or open approaches concerning specimen's length, distal margin, circumferential margin, and total and positive lymph nodes. Laparoscopic rectal resection is not only technically feasible but it seems also oncologically safe.

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Title: Can Adequate Lymphadenectomy be Obtained by Laparoscopic Resection in Rectal Cancer? Results of a Case–Control Study in 200 Patients
Authors: Samer Sara
Gilles Poncet
David Voirin
Marie-Hélène Laverriere
Daniel Anglade
Jean-Luc Faucheron
Publication date: 01-08-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 8/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-010-1228-5

At a glance: The STEP trials

Springer Medicine

Can Adequate Lymphadenectomy be Obtained by Laparoscopic Resection in Rectal Cancer? Results of a Case–Control Study in 200 Patients

Abstract

Aim

Materials and Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Aim

Materials and Methods

Results

Conclusion

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