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International Journal of Colorectal Disease

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01-07-2019 | Rectal Cancer | Original Article

Hybrid minimally invasive/open approach versus total minimally invasive approach for rectal cancer resection: short- and long-term results

Authors: Simona Deidda, Jacopo Crippa, Emilie Duchalais, Scott R. Kelley, Kellie L. Mathis, Eric J. Dozois, David W. Larson

Published in: International Journal of Colorectal Disease | Issue 7/2019

Abstract

Objectives

To reduce the technical challenges of a totally minimally invasive approach (TMA) and to decrease the morbidity associated with open surgery, a hybrid minimally invasive/open approach (HMOA) has been introduced as a surgical technique for rectal cancer. The aim of this study was to compare postoperative results and long-term oncologic outcomes between hybrid minimally invasive/open approach and totally minimally invasive approach in patients who underwent rectal resection for cancer.

Methods

All patients with rectal cancer undergoing a totally minimally invasive approach or hybrid minimally invasive/open approach proctectomy between 2012 and 2016 were analyzed. Preoperative and postoperative outcomes were collected from a prospectively maintained institutional database.

Results

Among 283 patients, 138 (48.8%) underwent a hybrid minimally invasive/open approach and 145 (51.2%) a totally minimally invasive approach. Preoperative characteristics were similar between groups except for distance from the anal verge, which was lower in totally minimally invasive approach group (50.7% vs 29%; p = 0.0008). Length of stay (LOS) was significantly longer in the hybrid minimally invasive/open approach group (6.4 vs 4.3; p = < 0.0001). The median follow-up was 29.6 (14–40.6) months. Overall survival and disease-free survival were not significantly different between groups.

Conclusions

Compared with a hybrid minimally invasive/open approach, a totally minimally invasive approach has a shorter length of stay and may improve short-term outcomes in patients undergoing proctectomy for cancer.

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Title: Hybrid minimally invasive/open approach versus total minimally invasive approach for rectal cancer resection: short- and long-term results
Authors: Simona Deidda
Jacopo Crippa
Emilie Duchalais
Scott R. Kelley
Kellie L. Mathis
Eric J. Dozois
David W. Larson
Publication date: 01-07-2019
Publisher: Springer Berlin Heidelberg
Keywords: Rectal Cancer
Ileus
Rectal Cancer
Published in: International Journal of Colorectal Disease / Issue 7/2019
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-019-03311-4

At a glance: The STEP trials

Springer Medicine

Hybrid minimally invasive/open approach versus total minimally invasive approach for rectal cancer resection: short- and long-term results

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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