Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer

Background Today, with improvements in laparoscopy technique, surgery of rectal cancer is performed by laparoscopy. Objectives This study was performed to evaluate oncologic results of open versus laparoscopic surgery of rectal cancer in terms of resection margins, removal of lymph nodes and re...

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Autores principales:	Ehsan Solati, Ghodratollah Maddah, Abbas Abdollahi, Alireza Tavassoli, Masoumeh Safaei, Mehdi Jabbari Nooghabi
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2015
Materias:	rectal neoplasms open surgery laparoscopy Medicine R
Acceso en línea:	https://doaj.org/article/5d7990624180497b92afaec1999f8840
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spelling	oai:doaj.org-article:5d7990624180497b92afaec1999f88402021-11-15T09:41:04ZComparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer2783-243010.17795/acr-28794https://doaj.org/article/5d7990624180497b92afaec1999f88402015-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45489_0793fad1719991b7eeacc0c507cf8153.pdfhttps://doaj.org/toc/2783-2430Background Today, with improvements in laparoscopy technique, surgery of rectal cancer is performed by laparoscopy. Objectives This study was performed to evaluate oncologic results of open versus laparoscopic surgery of rectal cancer in terms of resection margins, removal of lymph nodes and recurrence rate. Patients and Methods This descriptive-analytic study was performed on 88 patients with middle and lower rectal cancer in the two equivalent groups of laparoscopic and open surgery in Mashhad Ghaem and Omid hospitals during 2011 - 2013. Information including age, sex, number of removed and involved lymph nodes, proximal, distal, and radial margins, tumor stage and location, recurrence and disease-free survival collected in the questionnaire and analyzed using descriptive statistics and frequency distribution tables and t-test. Results Both groups of open and laparoscopic surgery had similar characteristics of age, sex, recurrence and disease-free survival, tumor margins and one-year mortality. The number of removed and involved lymph nodes was higher in the laparoscopic group (5.16 vs. 3.55, respectively, with P < 0.050, and 1.74 vs. 0.59 with P = 0.023), but the ratio of involved lymph nodes to the total number of removed lymph nodes was not different between the two groups (LNR) (P = 0.071). Tumor stage was higher in the laparoscopic group and most were in stages II and III (P < 0.001). Conclusions Laparoscopic surgery is an effective technique for safe margin and removing lymph nodes in rectal cancer.Ehsan SolatiGhodratollah MaddahAbbas AbdollahiAlireza TavassoliMasoumeh SafaeiMehdi Jabbari NooghabiShiraz University of Medical Sciencesarticlerectal neoplasmsopen surgerylaparoscopyMedicineRENIranian Journal of Colorectal Research, Vol 3, Iss 2, Pp 0-0 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	rectal neoplasms open surgery laparoscopy Medicine R
spellingShingle	rectal neoplasms open surgery laparoscopy Medicine R Ehsan Solati Ghodratollah Maddah Abbas Abdollahi Alireza Tavassoli Masoumeh Safaei Mehdi Jabbari Nooghabi Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer
description	Background Today, with improvements in laparoscopy technique, surgery of rectal cancer is performed by laparoscopy. Objectives This study was performed to evaluate oncologic results of open versus laparoscopic surgery of rectal cancer in terms of resection margins, removal of lymph nodes and recurrence rate. Patients and Methods This descriptive-analytic study was performed on 88 patients with middle and lower rectal cancer in the two equivalent groups of laparoscopic and open surgery in Mashhad Ghaem and Omid hospitals during 2011 - 2013. Information including age, sex, number of removed and involved lymph nodes, proximal, distal, and radial margins, tumor stage and location, recurrence and disease-free survival collected in the questionnaire and analyzed using descriptive statistics and frequency distribution tables and t-test. Results Both groups of open and laparoscopic surgery had similar characteristics of age, sex, recurrence and disease-free survival, tumor margins and one-year mortality. The number of removed and involved lymph nodes was higher in the laparoscopic group (5.16 vs. 3.55, respectively, with P < 0.050, and 1.74 vs. 0.59 with P = 0.023), but the ratio of involved lymph nodes to the total number of removed lymph nodes was not different between the two groups (LNR) (P = 0.071). Tumor stage was higher in the laparoscopic group and most were in stages II and III (P < 0.001). Conclusions Laparoscopic surgery is an effective technique for safe margin and removing lymph nodes in rectal cancer.
format	article
author	Ehsan Solati Ghodratollah Maddah Abbas Abdollahi Alireza Tavassoli Masoumeh Safaei Mehdi Jabbari Nooghabi
author_facet	Ehsan Solati Ghodratollah Maddah Abbas Abdollahi Alireza Tavassoli Masoumeh Safaei Mehdi Jabbari Nooghabi
author_sort	Ehsan Solati
title	Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer
title_short	Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer
title_full	Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer
title_fullStr	Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer
title_full_unstemmed	Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer
title_sort	comparison of oncologic short term results of laparoscopic versus open surgery of rectal cancer
publisher	Shiraz University of Medical Sciences
publishDate	2015
url	https://doaj.org/article/5d7990624180497b92afaec1999f8840
work_keys_str_mv	AT ehsansolati comparisonofoncologicshorttermresultsoflaparoscopicversusopensurgeryofrectalcancer AT ghodratollahmaddah comparisonofoncologicshorttermresultsoflaparoscopicversusopensurgeryofrectalcancer AT abbasabdollahi comparisonofoncologicshorttermresultsoflaparoscopicversusopensurgeryofrectalcancer AT alirezatavassoli comparisonofoncologicshorttermresultsoflaparoscopicversusopensurgeryofrectalcancer AT masoumehsafaei comparisonofoncologicshorttermresultsoflaparoscopicversusopensurgeryofrectalcancer AT mehdijabbarinooghabi comparisonofoncologicshorttermresultsoflaparoscopicversusopensurgeryofrectalcancer
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Comparison of Oncologic Short Term Results of Laparoscopic Versus Open Surgery of Rectal Cancer

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