Early Outcome of Laparoscopic Abdomino-Perineal Resection (Apr) in Low Rectal and Anal Cancer
| Autor: | Rashidul Islam, Ariful Alam Gazi Muhammad Salahuddin, Tariq Akhtar Khan, Shahadot Hossain Sheikh, Ismat Jahan Lima, Rayhanur Rahman |
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| Rok vydání: | 2015 |
| Předmět: |
Laparoscopic surgery
Anal fissure medicine.medical_specialty education.field_of_study animal structures business.industry medicine.medical_treatment General surgery Population Colostomy Rectum Anal canal medicine.disease Colorectal surgery Surgery medicine.anatomical_structure Medicine Anal cancer business education |
| Zdroj: | Gastroenterology & Hepatology: Open Access. 2 |
| ISSN: | 2373-6372 |
| DOI: | 10.15406/ghoa.2015.02.00056 |
| Popis: | Background: Colorectal cancer is the second most common malignancy in the western countries and the rectum is the most frequent site involved. Carcinoma in the lower part of the rectum involving anal canal especially sphincter or purely in the anal canal is now successfully managed by laparoscopic APR and postoperative morbidities are less and recovery is uneventful. In the current age of minimally invasive surgery, laparoscopic surgery for colon cancer has been established as equivalent to conventional open surgery in oncologic clearance. The advantages of laparoscopic surgery are smaller incisions, shorter recovery time and less wound related complications. However the narrow confines and angulations of the bony pelvis and the standard practice of autonomic nerve sparing total mesorectum excision has made laparoscopic surgery in the setting of rectal cancer more challenging. Methods: This randomized controlled trial study was carried out in the Colorectal Surgery Unit, Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka from May, 2012 to April, 2013. 25 patients were treated by conventional open APR and rest 25 patients were treated by laparoscopic APR. All Patients of two groups were selected by simple random method (lottery). Early outcome variables after surgery were evaluated. Results: During early post-operative follow up, abdominal surgical site infection was found more in conventional open APR patients than that of laparoscopic APR patients (p |
| Databáze: | OpenAIRE |
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