Long-term outcomes of laparoscopic surgery versus open resection for middle and lower rectal cancer: an NTCLES study

2011 ◽  
Vol 25 (10) ◽  
pp. 3175-3182 ◽  
Author(s):  
Shaotang Li ◽  
Pan Chi ◽  
Huiming Lin ◽  
Xingrong Lu ◽  
Ying Huang
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Lower Rectal Cancer ◽  
Open Resection ◽  
Long Term Outcomes

Long-Term Outcomes of Patients Undergoing Curative Laparoscopic Surgery for Mid and Low Rectal Cancer

2009 ◽  
Vol 52 (7) ◽  
pp. 1215-1222 ◽  
Author(s):  
Jeffrey W. Milsom ◽  
Olival de Oliveira ◽  
Koiana I. Trencheva ◽  
Sushil Pandey ◽  
Sang W. Lee ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Low Rectal Cancer ◽  
Long Term Outcomes

scholarly journals Influence of Tumor Location on Short- and Long-Term Outcomes After Laparoscopic Surgery for Rectal Cancer: A Propensity Score Matched Cohort Study

2020 ◽  
Author(s):  
Hong Yang ◽  
Zhendan Yao ◽  
Ming Cui ◽  
Jiadi Xing ◽  
Chenghai Zhang ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Multivariate Analysis ◽  
Laparoscopic Surgery ◽  
Laparoscopic Resection ◽  
Independent Predictor ◽  
Tumor Location ◽  
Long Term Outcomes ◽  
Oncological Outcomes ◽  
Short And Long Term

Abstract Background: This study aimed to evaluate the short- and long-term outcomes after laparoscopic resection for low rectal cancer (LRC) compared with mid/high rectal cancer (M/HRC). Methods: Patients with rectal cancer undergoing laparoscopic resection with curative intent were retrospectively reviewed between 2009 and 2015. After matched 1:1 by using propensity score analysis, perioperative and oncological outcomes were compared between LRC and M/HRC groups. Multivariate analysis was performed to identify independent factors of overall survival (OS) and disease-free survival (DFS). Results: Of 373 patients who met the criteria for inclusion, 260 patients were matched for the analysis. Laparoscopic surgery for LRC required longer operative time (P＜0.001) and more blood loss volume (P＜0.001) compared with M/HRC, and the LRC group tended to have a higher incidence of postoperative complications (18.5% vs. 10.0%, P=0.051). There was no significant difference in local recurrence between the two groups (6.2% vs. 2.3%, P=0.216), whereas distant metastasis was more frequent in LRC patients compared with M/HRC (19.2% vs. 9.2%, P=0.021). The LRC group showed significantly inferior 5-year OS (78.1% vs. 88.8%, P=0.008) and DFS (76.2% vs. 89.0%, P=0.004) compared with the M/HRC group. Multivariate analysis indicated that tumor location was an independent predictor of OS (HR=2.095, 95% CI 1.142-3.843, P=0.017) and DFS (HR=2.320, 95% CI 1.251-4.303, P=0.008). Conclusion: Tumor location of the rectal cancer significantly affected the clinical and oncological outcomes after laparoscopic surgery, and it was an independent predictor of OS and DFS.

Impact of laparoscopic surgery on the long-term outcomes for patients with rectal cancer

2009 ◽  
Vol 79 (11) ◽  
pp. 817-823 ◽  
Author(s):  
Jun-Gi Kim ◽  
Youn-Jung Heo ◽  
Gyung-Mo Son ◽  
Yoon-Suk Lee ◽  
In-Kyu Lee ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Long Term Outcomes

scholarly journals Influence of Tumor Location on Short- and Long-Term Outcomes After Laparoscopic Surgery for Rectal Cancer: A Propensity Score Matched Cohort Study

2020 ◽  
Author(s):  
Hong Yang ◽  
Zhendan Yao ◽  
Ming Cui ◽  
Jiadi Xing ◽  
Chenghai Zhang ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Multivariate Analysis ◽  
Laparoscopic Surgery ◽  
Laparoscopic Resection ◽  
Independent Predictor ◽  
Tumor Location ◽  
Long Term Outcomes ◽  
Oncological Outcomes ◽  
Short And Long Term

Abstract Background: This study aimed to evaluate the short- and long-term outcomes after laparoscopic resection for low rectal cancer (LRC) compared with mid/high rectal cancer (M/HRC). Methods: Patients with rectal cancer undergoing laparoscopic resection with curative intent were retrospectively reviewed between 2009 and 2015. After matched 1:1 by using propensity score analysis, perioperative and oncological outcomes were compared between LRC and M/HRC groups. Multivariate analysis was performed to identify independent factors of overall survival (OS) and disease-free survival (DFS). Results: Of 373 patients who met the criteria for inclusion, 198 patients were matched for the analysis. Laparoscopic surgery for LRC required longer operative time (P＜0.001) and more blood loss volume (P=0.015) compared with M/HRC, and the LRC group tended to have a higher incidence of postoperative complications (16.2% vs. 8.1%, P=0.082). There was no significant difference in local recurrence between the two groups (9.1% vs. 4.0%, P=0.251), whereas distant metastasis was inclined to be more frequent in LRC patients compared with M/HRC (21.2% vs. 12.1%, P=0.086). The LRC group showed significantly inferior 5-year OS (77.0% vs. 86.4%, P=0.033) and DFS (71.2% vs. 86.2%, P=0.017) compared with the M/HRC group. Multivariate analysis indicated that tumor location was an independent predictor of DFS (HR=2.305, 95% CI 1.203-4.417, P=0.012). Conclusion: Tumor location of the rectal cancer significantly affected the clinical and oncological outcomes after laparoscopic surgery, and it was an independent predictor of DFS.

Short- and long-term outcomes of robotic-assisted laparoscopic surgery for rectal cancer: results of a single high-volume center in Japan

2018 ◽  
Vol 33 (12) ◽  
pp. 1755-1762 ◽  
Author(s):  
Tomohiro Yamaguchi ◽  
Yusuke Kinugasa ◽  
Akio Shiomi ◽  
Hiroyasu Kagawa ◽  
Yushi Yamakawa ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
High Volume ◽  
Long Term Outcomes ◽  
Robotic Assisted ◽  
High Volume Center ◽  
Short And Long Term

Long-Term Outcomes After Laparoscopic Surgery Versus Open Surgery for Rectal Cancer: A Propensity Score Analysis

2013 ◽  
Vol 20 (8) ◽  
pp. 2633-2640 ◽  
Author(s):  
Jun Seok Park ◽  
Gyu-Seog Choi ◽  
Soo Han Jun ◽  
Soo Yeun Park ◽  
Hye Jin Kim
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Propensity Score ◽  
Open Surgery ◽  
Propensity Score Analysis ◽  
Long Term Outcomes ◽  
Score Analysis

Acceptance of sphincter-preserving surgery for T3 lower rectal cancer after short-course radiotherapy with delayed surgery.

2014 ◽  
Vol 32 (3_suppl) ◽  
pp. 620-620
Author(s):  
Naohito Beppu ◽  
Hidenori Yanagi ◽  
Naoki Yamanaka ◽  
Hiroshi Doi ◽  
Norihiko Kamikonya ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lower Rectal Cancer ◽  
Distal Margin ◽  
Recurrence Free Survival ◽  
Long Term Outcomes ◽  
Free Survival ◽  
Delayed Surgery ◽  
Short Course ◽  
Short Course Radiotherapy

620 Background: One of the reasons for avoiding sphincter-preserving surgery for lower rectal cancer is difficulty in obtaining a sufficient distal margin. Short-course radiotherapy (SRT) with immediate surgery is not expected to reduce tumor volume, and currently available evidence suggests that it does not increase the sphincter-preservation rate. However, SRT with delayed surgery has been linked to downsizing of the primary tumor during the waiting period. We evaluated the feasibility of sphincter-preserving surgery for T3 lower rectal cancer after SRT with delayed surgery and examined whether a distal margin of ≤ 5 mm has an impact on oncologic outcomes. Methods: We retrospectively studied 161 consecutive patients with lower rectal cancer located below the peritoneum reflection who underwent radical surgery with total mesorectum resection (TME) 3 to 4 weeks after the completion of SRT. The median follow-up was 53.5 months. Results: Sphincter-preserving surgery was performed in 149 (92.5%) of the 161 patients. The procedures were as follows: double-stapling technique, 58 patients; intersphincteric resection, 91; abdominoperineal resection, 10; and Hartmann operation, 2. Among the patients who underwent sphincter-preserving surgery, the distal margin was ≤ 5 mm in 41 patients and > 5 mm in 108. The local recurrence rate was respectively 5.8% vs. 10.4% (p = 0.606), the recurrence-free survival 83.4% vs. 82.8% (p = 0.682), and the overall survival at 5 years 82.3% vs. 87.6% (p = 0.418). Our results suggested that there is no difference in long-term outcomes between a distal margin of ≤ 5 mm and > 5 mm. Conclusions: Sphincter-preserving surgery was performed in 92.5% of patients with T3 lower rectal cancer who received SRT with delayed surgery. Our results confirmed the long-term oncologic feasibility of sphincter-preserving surgery with a distal margin of ≤ 5 mm; there was no negative impact on long-term outcomes such as local recurrence, recurrence-free survival, and overall survival.

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