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Laparoscopic resection of extraperitoneal rectal cancer: a comparative analysis with open resection

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Abstract

Purpose

The aim of this study was to compare the outcomes of laparoscopic surgery with those of open resection in patients with extraperitoneal rectal cancer.

Methods

Five hundred forty-four patients with extraperitoneal rectal cancer who underwent curative resection between 1996 and 2007 were included. Patients were divided into a laparoscopic surgery group (LAP, n = 170) and an open surgery group (OPEN, n = 374).

Results

Morbidity requiring surgical correction was 5.8% in the LAP group and 4.8% in the OPEN group (p = 0.75). The anastomotic leakage rate was similar in both groups (5.7% in both; p = 0.98). Differences were found in preoperative carcinoembryonic antigen (CEA) (LAP group 4.6 ng/ml, OPEN group 7.7 ng/ml, p = 0.001), sphincter preservation (LAP group 82.9%, OPEN group 69.8%, p = 0.001), and mean distance from anal verge (LAP group 4.6 cm, OPEN group 5.2 cm, p = 0.002). Local recurrence and metastasis were similar by stage.

Conclusions

The results of this study show that laparoscopic resection of extraperitoneal rectal cancer was safe and effective.

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Authors and Affiliations

  1. Division of Colorectal Surgery, Department of Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, 50 Samduk-dong 2ga Jung-gu, Daegu, South Korea

    In Ja Park, Gyu-Seog Choi, Kyung-Hoon Lim, Byung-Mo Kang & Soo-Han Jun

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  1. In Ja Park
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  2. Gyu-Seog Choi
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  3. Kyung-Hoon Lim
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  4. Byung-Mo Kang
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Correspondence to Gyu-Seog Choi.

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Park, I.J., Choi, GS., Lim, KH. et al. Laparoscopic resection of extraperitoneal rectal cancer: a comparative analysis with open resection. Surg Endosc 23, 1818–1824 (2009). https://doi.org/10.1007/s00464-008-0265-6

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  • DOI: https://doi.org/10.1007/s00464-008-0265-6

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