Safety and feasibility of single-port laparoscopic low anterior resection for upper rectal cancer
| Autor: | Masahisa Otsuka, Kentaro Kishi, Mitsuyoshi Tei, Hiroki Akamatsu, Yozo Suzuki, Masahiro Tanemura |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer 030230 surgery Adenocarcinoma 03 medical and health sciences 0302 clinical medicine Port (medical) medicine Humans Stage (cooking) Laparoscopy Survival rate Aged Retrospective Studies medicine.diagnostic_test business.industry Rectal Neoplasms Retrospective cohort study General Medicine Perioperative Length of Stay Middle Aged medicine.disease Surgery Survival Rate Treatment Outcome 030220 oncology & carcinogenesis Feasibility Studies Female business |
| Zdroj: | American journal of surgery. 216(6) |
| ISSN: | 1879-1883 |
| Popis: | Background Single-port surgery for rectal cancer is challenging and controversial. The aim of this study was to compare the short-term outcomes of single-port laparoscopic low anterior resection (S-LAR) to multi-port laparoscopic low anterior resection (M-LAR) for upper rectal cancer. Methods From January 2011 to December 2015, a total of 93 patients who underwent S-LAR (n = 44) or M-LAR (n = 49) without protective diverting ileostomy for upper rectal cancer were identified. Tumors were located between the inferior margin of the second sacral vertebra and the peritoneal reflection. Short-term outcomes were compared between groups. Results S-LAR was successful in 75% of cases: 25% of cases required one additional port. Operative factors, perioperative outcomes, oncological outcomes did not differ significantly between groups. In patients with stage I-III disease, the 3-year relapse-free survival rate was significantly higher in the S-LAR group than in the M-LAR group (p = 0.032). The 3-year overall survival rate was similar between groups. Conclusions S-LAR is safe, feasible and can provide satisfactory oncological outcomes in selected patients with upper rectal cancer. |
| Databáze: | OpenAIRE |
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