Open Versus Laparoscopic Surgery for Rectal Cancer: Single-Center Results of 587 Cases. Issue 3 (June 2016)

• Record Type: Journal Article
• Authors: Keskin, Metin; Akici, Murat; Ağcaoğlu, Orhan; Yeğen, Gülçin; Sağlam, Esra; Buğra, Dursun; Bulut, Mehmet T.; Balik, Emre
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 26:Issue 3(2016)
• Publication Date: 2016-06
• Subjects: laparoscopy -- rectal cancer -- open surgery; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000267
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Purpose: We aimed to compare the short-term and long-term results of laparoscopic and open rectal resections. Methods: A total of 587 rectal cancer patients were included. The main measures were demographic data, duration of surgery, early postoperative results, pathologic data, and long-term follow-up. Results: There were no significant differences in demographic data, morbidity rate, tumor location, and sphincter-preservation rates between the 2 groups. The duration of surgery (155 vs. 173 min, P <0.001), time to gas passage, defecation, and solid food intake and length of hospital stay were significantly shorter in the laparoscopic group than the open group ( P <0.05). According to the univariate and multivariate analysis, laparoscopic surgery did not have an effect on local recurrence but had a favorable effect on survival rates. Conclusions: Laparoscopic rectal surgery has advantages over open surgery with respect to short-term and long-term clinical results and when performed in high-volume centers.