Laparoscopic versus Open Surgery for Rectal Cancer: A Clinical Comparative Study

Li, Z; Xiao, Ying; Shen, Yi; Ye, P; Pan, Wei; Chen, H

doi:10.1177/147323001204000440

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…Studies [29][30][31] have shown that laparoscopic surgery can achieve similar results in the treatment of rectal cancer with TME compared with open surgery. In this study, in the comparison of the quality of the mesorectum, the experimental group had 119 complete cases, four nearly complete cases, and one incomplete case, whereas the control group had 102 complete cases, eight nearly complete cases, and two incomplete cases.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Clinical Efficiency and Safety of Laparoscopic Anus-Conserving Operation for Ultralow Rectal Cancer

Zuo

Ding

Tang

et al. 2019

The American Surgeon™

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To explore the efficiency and safety of laparoscopic anus-conserving operation for ultralow rectal cancer, we retrospectively reviewed 236 patients with ultralow rectal cancer who underwent laparoscopic anus-conserving operation (experimental group, n = 124) or conventional open surgery (control group, n = 112). Operation-related indexes, pathological results of mesentery, incidence rates of postoperative complications, anus preservation rates, anal sphincter controllability after surgery, and survival rates of the first, second, and third years after operation were compared between the two groups. The amount of intraoperative bleeding, first postoperative exhaust time, abdominal drainage, pain score, and hospital stay in the experimental group were significantly less than those in the control group ( P < 0.05). There were no significant differences in the postoperative circumferential resection margin, distal resection margin, number of dissected lymph nodes, successful resection rate, and quality of mesorectum between the two groups ( P > 0.05). The total incidence rate of postoperative complications, anal sphincter controllability, and survival rates after surgery were similar between the two groups ( P > 0.05). The anus preservation rate of the experimental group (84.7%) was significantly higher than that of the control group (69.6%) ( P < 0.05). Laparoscopic anus-conserving operation is effective and safe in treatment of patients with ultralow rectal cancer, which has advantages such as small trauma, less intra-operative bleeding, short hospital stay, rapid recovery, a low incidence rate of postoperative complications, and a high anus-preserving rate, so it is worthy of clinical application.

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Section: Discussionmentioning

confidence: 99%

Analysis of Clinical Efficiency and Safety of Laparoscopic Anus-Conserving Operation for Ultralow Rectal Cancer

Zuo

Ding

Tang

et al. 2019

The American Surgeon™

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“…As for laparoscopic surgery, it is one of the modern surgical techniquesusing small incisions (usually 0.5-1.5 cm long), compared to the larger incisions (usually 24-36 cm long) needed in traditional open surgery (4). A number of available prospective randomized control trials and meta-analyses of laparoscopic-assisted surgery for CRC (5)(6)(7)(8)(9)(10) reported the superiority of laparoscopic-assisted colorectal surgery over open surgery in terms of improved perioperative outcomes including less pain, a smaller incision, a faster recovery of gastrointestinal function, a shorter post-operative hospital stay, while long-term survival were comparable between the two groups (11)(12)(13)(14). Laparoscopic surgery, which utilizes a telescopic video camera, usually gives a better view of internal organs than that with the naked eyes by traditional open procedures.…”

Section: The Laparoscopic Vs Open Technique For Colorectal Cancer Sumentioning

confidence: 99%

Comparison of Postoperative Outcomes Between Laparoscopic and Open Surgery for Colorectal Cancer

Neki

Eto

Kosuge

et al. 2017

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“…Πίλαθαο 8: Κξηηήξηα ηνπηθήο εθηνκήο φγθσλ νξζνχ ηελ ρεηξνπξγηθή ηνπ θαξθίλνπ ηνπ νξζνχ ζέζε έρεη θαη ε ιαπαξνζθνπηθή ρεηξνπξγηθή. χκθσλα κε κειέηεο, ηα νγθνινγηθά απνηειέζκαηα ηεο ιαπαξνζθνπηθήο ρεηξνπξγηθήο ηνπ θαξθίλνπ ηνπ νξζνχ κπνξνχλ λα επηηεπρζνχλ κε αζθάιεηα θαη λα είλαη ζπγθξίζηκα κε ηα αληίζηνηρα ηεο αλνηθηήο ρεηξνπξγηθήο[205][206] .Ζ επηθνπξηθή ρεκεηνζεξαπεία θαη αθηηλνζεξαπεία, πξαγκαηνπνηείηαη ζε αζζελείο ζηαδίνπ ΗΗ θαη ΗΗΗ, δηφηη εμαζθαιίδεη θαιχηεξν έιεγρν ηεο λφζνπ ηνπηθά θαη κεγαιχηεξε επηβίσζε. Σέινο, ε neoadjuvant ρεκεηνζεξαπεία θαη αθηηλνζεξαπεία έρεη ζέζε ζε θάπνηεο επηιεγκέλεο πεξηπηψζεηο θαξθίλνπ ηνπ νξζνχ, δηφηη επηηπγράλεη θαιχηεξν ηνπηθφ έιεγρν ηεο λφζνπ, απμάλεη ηελ πηζαλφηεηα λα δηαζσζεί ν ζθηγθηεξηαθφο κεραληζκφο θαη κεηψλεη ζεκαληηθά ηελ πηζαλφηεηα ρξφληαο ζηέλσζεο ηεο αλαζηφκσζεο.…”

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Μελέτη Της Επίδρασης Της Βακτηριακής Αλλόθεσης Στην Μετεγχειρητική Πορεία Και Την Απώτερη Πρόγνωση Ασθενών Με Καρκίνο Του Παχέος Εντέρου

Κεραμιδάρης¹

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Introduction: Bacterial translocation is defined as the passage of live bacteria or theirconstituents from the gastrointestinal tract in extraintestinal sites. The importance ofbacterial translocation in colorectal cancer patients remains controversial. This studyinvestigates the association of bacterial translocation with long-term prognosis ofpatients with colorectal cancer. Additionally this study examines the predictive valueof serum procalcitonin measurement in patients with colorectal cancer.Material and Methods: This prospective study enrolled 54 consecutive patients withhistologically confirmed colorectal cancer. After receipt of patient's consent patientdemographics and clinical and pathological features of the disease were documented.Moreover, the value of serum procalcitonin, WBC, ESR and CRP were measured in ablood sample. In the operating room, immediately after laparotomy and before anysurgical manipulation irrigation of the peritoneal cavity with 100cc N / S 0.9% wasperformed and the washing was collected and sent for culture to determine thepossible presence of bacteria.Postoperatively, patients were followed for 60 days, during which all postoperativecomplications were recorded. Furthermore, long term overall survival and diseasefreesurvival were recorded.All statistical analyzes were performed with the statistical package SPSS. The p-value<0.05 was determined as statistically significant level of difference but we alsorecorded marginally significant statistical differences (0.05 <P <0.1).Results: The study included 32 men and 22 women with a mean age of 71 ± 11.02years . The median duration of hospitalization was 11 days , 35 % had complicationsduring hospitalization and 4% resulted in death. The cultures of the peritoneal lavagefluid was positive in 11% of patients with isolation Gram positive in 67% and Gramnegative pathogenic microorganism in 33%. Statistical analysis revealed no significant correlation between the culture of the peritoneal fluid and patientcharacteristics, clinical course, characteristics of the tumors and the levels of whiteblood cells , ESR , CRP, PCT and CEAThe analysis showed a significant positive correlation between the PCT andinflammatory markers (WBC, CRP, TKE) and the tumor marker CEA (p <0.05).Patients with distant metastases had significantly higher levels of PCT (0.074compared to 0.043 mg / L) compared to patients without metastases (p <0.05).Marginal statistical significance was found between the PCT and the degree ofdifferentiation (p = 0.09) The median follow up was 46 [ 22, 55 ] months . Duringfollow-up of patients 45.5 % had disease recurrence and 43.6 % died.The statistical analysis did not show the presence of significant correlation betweenthe result of the culture of the peritoneal fluid, and the overall and disease-freesurvival. The Kaplan-Meier survival showed a trend towards a shorter overallsurvival in patients with elevated levels of PCT No statistically significant correlationbetween the levels PCT and disease-free survival of patients was foundConclusion: The results of this study showed that bacterial translocation is relativelyfrequent in colorectal cancer and Procalcitonin is a useful biomarker for theinvestigation of patients with colorectal cancer. The clinical significance of bacterialtranslocation in patients with colorectal cancer is minimal as is not correlated withprognosis.

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Laparoscopic versus Open Surgery for Rectal Cancer: A Clinical Comparative Study

Cited by 7 publications

References 23 publications

Analysis of Clinical Efficiency and Safety of Laparoscopic Anus-Conserving Operation for Ultralow Rectal Cancer

Analysis of Clinical Efficiency and Safety of Laparoscopic Anus-Conserving Operation for Ultralow Rectal Cancer

Comparison of Postoperative Outcomes Between Laparoscopic and Open Surgery for Colorectal Cancer

Μελέτη Της Επίδρασης Της Βακτηριακής Αλλόθεσης Στην Μετεγχειρητική Πορεία Και Την Απώτερη Πρόγνωση Ασθενών Με Καρκίνο Του Παχέος Εντέρου

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