| Autor: |
C. C. Chung, Hester Yui Shan Cheung, M. K. W. Li, K. K. Yau, Alex L.H. Leung, K. H. Ng |
| Rok vydání: |
2010 |
| Předmět: |
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| Zdroj: |
Colorectal Disease. 13:627-631 |
| ISSN: |
1462-8910 |
| DOI: |
10.1111/j.1463-1318.2010.02235.x |
| Popis: |
Aim Total mesorectal excision (TME) is currently the gold standard for resection of mid or low rectal cancer and is associated with a low local recurrence rate. However, few studies have reported the long-term oncological outcome following use of a laparoscopic approach. The aim of this study was to evaluate the long-term oncological outcome after laparoscopic sphincter-preserving TME with a median follow up of about 4 years. Method Patients with mid or low rectal cancer who underwent laparoscopic sphincter-preserving TME with curative intent between March 1999 and March 2009 were prospectively recruited for analysis. Results During the 10-year study period, 177 patients underwent laparoscopic sphincter-preserving TME with curative intent for rectal cancer. Conversion was required in two (1%) patients. There was no operative mortality. At a median follow-up period of 49 months, local recurrence had occurred in nine (5.1%) patients. The overall metastatic recurrence rate after curative resection was 22%. The overall 5-year survival and 5-year disease-free survival in the present study were 74% and 71%, respectively. Conclusion The results of this study show that laparoscopic sphincter-preserving TME is safe with long-term oncological outcomes comparable to those of open surgery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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