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ISSN 1665-2576 (Print)

2012, Number 3

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Rev Mex Cir Endoscop 2012; 13 (3)

Quality of oncological resection in rectal cancer. Comparative study between laparoscopic and open surgery

Ramírez MF, Valadez CD, Enríquez GJA, Vega JM, Cruz SCA, Ramírez MR, Decanini TCÓ

Language: Spanish
References: 33
Page: 127-132
PDF size: 106.69 Kb.


ABSTRACT

Introduction: The rectal cancer is the third most common cancer worldwide. Currently there is consensus on the feasibility of laparoscopic treatment for rectal cancer; however, optimal oncologic resection by this technique is still controversial. Material and methods: Retrospective, transversal and observational study. Patients undergoing resection for rectal cancer from January 1st 2004 to September 1st 2011. Variables: Sociodemographic characteristics, perioperative and radicality of the procedure. Analysis: Percentage as a measure of qualitative variables. Student t test for unpaired values. χ2 for variables expressed as proportions. p ‹ 0.05 statistically significant. Results: 89 patients, laparoscopic surgery = 39; open surgery = 50. Hospital stay 7.92 versus 10.18 days (p = 0.039). Low anterior resection (LAR): 38 (98%) versus 32 (64%), abdominoperineal resection (APR): 1 (2%) versus 18 (36%) (p = 0.0001). Diverting ileostomy: 3 (7.69%) versus 29 (58%) (p = 0.043). Intraoperative bleeding: 259 versus 525 mL (p = 0.001). Free surgical margins: 100 versus 96% (p = 0.006). Lymph nodes removed: 11.5 versus 13.5 (p = 0.139). Anastomotic dehiscence: 3 (7.6%) versus 2 (4%) (p = 0.126). Reoperation: 3. versus 4. (p = 1.631). Conclusions: The results of treatment of rectal cancer by laparoscopic surgery are equivalent in terms of oncological resection to those observed for open surgery with potential benefits as reduced pain, length of stay and postoperative bleeding.


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