2007•Journal of laparoscopic surgeryRequires access

The short-term outcome of laparoscopic resection of rectal carcinoma:a clinical pilot study

Xuezhi Liu

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Abstract

Objective:To study the feasibility and short-term outcome of laparoscopic radical resection of rectal carcinoma.Methods:The clinical data of thirty cases who had undergone laparoscopic radical resection and 63 cases who had undergone open radical resection were retrospectively analyzed.Results:Three cases of the laparoscopic group were converted to open radical resection.The average operating time was significantly longer in laparoscopic group than that of open group.The passage of flatus occurred earlier in laparoscopic group and the hospitalization was shorter.There was no significent difference between the two studied groups with regard to the volume of bleeding,postoperative complications,the mean number of lymph nodes and length of lower resected margin to the tumor,the rate of relapse,metastasis,mortality in half a year after operation.Conclusions:Laparoscopic radical resection of rectal carcinoma is a feasible but technically demanding procedure.Its short-term outcome is better because of its security,less trauma and faster recovery.

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Objective:To study the feasibility and short-term outcome of laparoscopic radical resection of rectal carcinoma.Methods:The clinical data of thirty cases who had undergone laparoscopic radical resection and 63 cases who had undergone open radical resection were retrospectively analyzed.Results:Three cases of the laparoscopic group were converted to open radical resection.The average operating time was significantly longer in laparoscopic group than that of open group.The passage of flatus occurred earlier in laparoscopic group and the hospitalization was shorter.There was no significent difference between the two studied groups with regard to the volume of bleeding,postoperative complications,the mean number of lymph nodes and length of lower resected margin to the tumor,the rate of relapse,metastasis,mortality in half a year after operation.Conclusions:Laparoscopic radical resection of rectal carcinoma is a feasible but technically demanding procedure.Its short-term outcome is better because of its security,less trauma and faster recovery.

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Available abstract

Objective:To study the feasibility and short-term outcome of laparoscopic radical resection of rectal carcinoma.Methods:The clinical data of thirty cases who had undergone laparoscopic radical resection and 63 cases who had undergone open radical resection were retrospectively analyzed.Results:Three cases of the laparoscopic group were converted to open radical resection.The average operating time was significantly longer in laparoscopic group than that of open group.The passage of flatus occurred earlier in laparoscopic group and the hospitalization was shorter.There was no significent difference between the two studied groups with regard to the volume of bleeding,postoperative complications,the mean number of lymph nodes and length of lower resected margin to the tumor,the rate of relapse,metastasis,mortality in half a year after operation.Conclusions:Laparoscopic radical resection of rectal carcinoma is a feasible but technically demanding procedure.Its short-term outcome is better because of its security,less trauma and faster recovery.

Key concepts: Medicine, Surgery, Rectal carcinoma, Laparoscopy, Resection margin, Resection, Distant metastasis, Carcinoma

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