Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer

Background Abdominoperineal resection (APR) along with permanent colostomy is the standard method of low rectal cancer operation and resection. The laparoscopic APR provides better visualization of pelvic structures compared to the open approach. Disadvantages of the laparoscopic approach have been...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Leila Ghahramani, Hesameddin Eghlimi, AliMohammad Bananzadeh, Seyed Vahid Hosseini, Ahmad Izadpanah, Ali Reza Safarpour, Ahmed Mohammed Ali Al Hurry, Khairallah Muzhir Gabash, Fahimeh Hajhosseini, Fatemeh Ganji
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2014
Materias:	rectal cancer colorectal surgery laparoscopic surgery Medicine R
Acceso en línea:	https://doaj.org/article/3a7bef1118d446a68314a23b99e30c51
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3a7bef1118d446a68314a23b99e30c51
record_format	dspace
spelling	oai:doaj.org-article:3a7bef1118d446a68314a23b99e30c512021-11-14T07:57:25ZEvaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer2783-243010.17795/acr-22676https://doaj.org/article/3a7bef1118d446a68314a23b99e30c512014-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45470_8e9a71b5cee213e9f51f756f314bd29d.pdfhttps://doaj.org/toc/2783-2430Background Abdominoperineal resection (APR) along with permanent colostomy is the standard method of low rectal cancer operation and resection. The laparoscopic APR provides better visualization of pelvic structures compared to the open approach. Disadvantages of the laparoscopic approach have been reported as longer operation duration and requirement of expensive equipment Although this issue has been investigated extensively worldwide, data is limited from Iran. Objectives The aim of this study was to compare short-term outcome of Laparoscopic Abdominoperineal Resection (APR) with open APR in patients with low rectal cancer in Shiraz, southern Iran. Patients and Methods This was a non-randomized controlled trial study performed in Shahid Faghihi Hospital affiliated to Shiraz University of Medical Sciences from 2007 to 2012. We included all patients with rectal cancer who underwent laparoscopic or open APR with permanent colostomy. Both groups were evaluated regarding oncology results. Volume of intraoperative bleeding, short-term complications, operation to diet interval and duration of hospitalization were recorded and further compared between the laparoscopy and open APR groups. Results Overall, 24 patients were included in this study of whom 11 underwent laparoscopy and 13 underwent open APR. The two study groups were comparable regarding age (P = 0.747), gender (P = 0.605), tumor stage (P = 0.116), tumor histopathology grade (P = 0.421) and distance from the anal verge (P = 0.711). The duration of operation was comparable between the groups (P = 0.336). Those who underwent laparoscopy had significantly lower intraoperative bleeding (485.5 ± 139.8 vs. 658.3 ± 183.2; P = 0.024), shorter operation-diet interval (2.27 ± 0.46 vs. 3.15 ± 0.37; P < 0.001) and shorter duration of hospitalization compared to the open APR group (4.09 ± 0.53 vs. 4.76 ± 0.59; P = 0.008). Conclusions Laparoscopic APR is associated with minimal perioperative bleeding, shorter operation-diet interval and shorter durations of hospitalization compared to open approach in patients with low rectal cancer who had not received neoadjuvant chemo radiotherapy. Oncologic results in this operation were comprisable to open procedure because the mesorectal, anus and sphincter complex excision are performed in the same method. . Therefore, laparoscopy could be the method of choice for APR.Leila GhahramaniHesameddin EghlimiAliMohammad BananzadehSeyed Vahid HosseiniAhmad IzadpanahAli Reza SafarpourAhmed Mohammed Ali Al HurryKhairallah Muzhir GabashFahimeh HajhosseiniFatemeh GanjiShiraz University of Medical Sciencesarticlerectal cancercolorectal surgerylaparoscopic surgeryMedicineRENIranian Journal of Colorectal Research, Vol 2, Iss 3, Pp 0-0 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	rectal cancer colorectal surgery laparoscopic surgery Medicine R
spellingShingle	rectal cancer colorectal surgery laparoscopic surgery Medicine R Leila Ghahramani Hesameddin Eghlimi AliMohammad Bananzadeh Seyed Vahid Hosseini Ahmad Izadpanah Ali Reza Safarpour Ahmed Mohammed Ali Al Hurry Khairallah Muzhir Gabash Fahimeh Hajhosseini Fatemeh Ganji Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer
description	Background Abdominoperineal resection (APR) along with permanent colostomy is the standard method of low rectal cancer operation and resection. The laparoscopic APR provides better visualization of pelvic structures compared to the open approach. Disadvantages of the laparoscopic approach have been reported as longer operation duration and requirement of expensive equipment Although this issue has been investigated extensively worldwide, data is limited from Iran. Objectives The aim of this study was to compare short-term outcome of Laparoscopic Abdominoperineal Resection (APR) with open APR in patients with low rectal cancer in Shiraz, southern Iran. Patients and Methods This was a non-randomized controlled trial study performed in Shahid Faghihi Hospital affiliated to Shiraz University of Medical Sciences from 2007 to 2012. We included all patients with rectal cancer who underwent laparoscopic or open APR with permanent colostomy. Both groups were evaluated regarding oncology results. Volume of intraoperative bleeding, short-term complications, operation to diet interval and duration of hospitalization were recorded and further compared between the laparoscopy and open APR groups. Results Overall, 24 patients were included in this study of whom 11 underwent laparoscopy and 13 underwent open APR. The two study groups were comparable regarding age (P = 0.747), gender (P = 0.605), tumor stage (P = 0.116), tumor histopathology grade (P = 0.421) and distance from the anal verge (P = 0.711). The duration of operation was comparable between the groups (P = 0.336). Those who underwent laparoscopy had significantly lower intraoperative bleeding (485.5 ± 139.8 vs. 658.3 ± 183.2; P = 0.024), shorter operation-diet interval (2.27 ± 0.46 vs. 3.15 ± 0.37; P < 0.001) and shorter duration of hospitalization compared to the open APR group (4.09 ± 0.53 vs. 4.76 ± 0.59; P = 0.008). Conclusions Laparoscopic APR is associated with minimal perioperative bleeding, shorter operation-diet interval and shorter durations of hospitalization compared to open approach in patients with low rectal cancer who had not received neoadjuvant chemo radiotherapy. Oncologic results in this operation were comprisable to open procedure because the mesorectal, anus and sphincter complex excision are performed in the same method. . Therefore, laparoscopy could be the method of choice for APR.
format	article
author	Leila Ghahramani Hesameddin Eghlimi AliMohammad Bananzadeh Seyed Vahid Hosseini Ahmad Izadpanah Ali Reza Safarpour Ahmed Mohammed Ali Al Hurry Khairallah Muzhir Gabash Fahimeh Hajhosseini Fatemeh Ganji
author_facet	Leila Ghahramani Hesameddin Eghlimi AliMohammad Bananzadeh Seyed Vahid Hosseini Ahmad Izadpanah Ali Reza Safarpour Ahmed Mohammed Ali Al Hurry Khairallah Muzhir Gabash Fahimeh Hajhosseini Fatemeh Ganji
author_sort	Leila Ghahramani
title	Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer
title_short	Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer
title_full	Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer
title_fullStr	Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer
title_full_unstemmed	Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer
title_sort	evaluating the efficacy of open versus laparoscopic abdominoperianal resection in management of patients with low rectal cancer
publisher	Shiraz University of Medical Sciences
publishDate	2014
url	https://doaj.org/article/3a7bef1118d446a68314a23b99e30c51
work_keys_str_mv	AT leilaghahramani evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT hesameddineghlimi evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT alimohammadbananzadeh evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT seyedvahidhosseini evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT ahmadizadpanah evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT alirezasafarpour evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT ahmedmohammedalialhurry evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT khairallahmuzhirgabash evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT fahimehhajhosseini evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer AT fatemehganji evaluatingtheefficacyofopenversuslaparoscopicabdominoperianalresectioninmanagementofpatientswithlowrectalcancer
_version_	1718429771180802048

Evaluating the Efficacy of Open Versus Laparoscopic Abdominoperianal Resection in Management of Patients with Low Rectal Cancer

Ejemplares similares