What is the established contribution of laparoscopy in the treatment of rectal cancer?
| Autor: | Marc Pocard, S. Kirzin, R. Lo Dico, G. Portier |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Incisional hernia Colorectal cancer medicine.medical_treatment Blood Loss Surgical law.invention Postoperative Complications Quality of life Randomized controlled trial Blood loss law Laparotomy Medicine Humans Rectal resection Laparoscopy medicine.diagnostic_test business.industry Rectal Neoplasms General surgery General Medicine Length of Stay medicine.disease Conversion to Open Surgery Surgery Treatment Outcome Quality of Life business |
| Zdroj: | Journal of visceral surgery. 149(6) |
| ISSN: | 1878-7886 |
| Popis: | The results of laparoscopic treatment of rectal cancer have been evaluated in several randomized trials. Still, the validity of this approach remains controversial because of concerns regarding its oncological safety. In this review, oncological results of laparoscopic rectal resection were similar to those of laparotomy, with no observed survival difference. Conversion from laparoscopy to laparotomy seemed to be associated with worse oncological results and an increased post-operative morbidity including nervous sequelae. Intra-operative blood loss was significantly reduced with the laparoscopic approach, but post-operative morbidity was not different. Post-operative pain and length of hospital stay were decreased by the laparoscopic approach, and short-term quality of life was improved. There was no demonstration of significant reduction in late morbidity such as incisional hernia and bowel adhesions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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