Short-Term Outcomes with Standardized Transperineal Minimally Invasive Abdominoperineal Excision for Rectal Cancer

2021 ◽  
Author(s):  
Atsushi Hamabe ◽  
Kenji Okita ◽  
Toshihiko Nishidate ◽  
Koichi Okuya ◽  
Emi Akizuki ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Minimally Invasive ◽  
Abdominoperineal Excision ◽  
Short Term

Influence of Minimally Invasive Resection Technique on Sphincter Preservation and Short-term Outcome in Low Rectal Cancer in the Netherlands

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Marieke L. Rutgers ◽  
Robin Detering ◽  
Sapho X. Roodbeen ◽  
Rogier M. Crolla ◽  
Jan Willem T. Dekker ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
The Netherlands ◽  
Minimally Invasive ◽  
Sphincter Preservation ◽  
Low Rectal Cancer ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome

Minimally Invasive Surgery of Rectal Cancer: Current Evidence and Options

2012 ◽  
pp. 214-218 ◽  
Author(s):  
Atthaphorn Trakarnsanga ◽  
Martin R. Weiser
Keyword(s):  
Rectal Cancer ◽  
Colon Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Oncologic Outcomes ◽  
Current Status ◽  
Current Evidence ◽  
Short Term ◽  
Invasive Approach

Overview: Minimally invasive surgery (MIS) of colorectal cancer has become more popular in the past two decades. Laparoscopic colectomy has been accepted as an alternative standard approach in colon cancer, with comparable oncologic outcomes and several better short-term outcomes compared to open surgery. Unlike the treatment for colon cancer, however, the minimally invasive approach in rectal cancer has not been established. In this article, we summarize the current status of MIS for rectal cancer and explore the various technical options.

The Impact of Conversion to Laparotomy in Rectal Cancer

2020 ◽  
Vol 86 (7) ◽  
pp. 811-818
Author(s):  
Salvatore A. Parascandola ◽  
Salini Hota ◽  
Mayou Martin T. Tampo ◽  
Andrew D. Sparks ◽  
Vincent Obias
Keyword(s):  
Rectal Cancer ◽  
Minimally Invasive ◽  
Large Population ◽  
Oncologic Outcomes ◽  
Minimally Invasive Approach ◽  
Short Term ◽  
Population Database ◽  
Invasive Approach ◽  
Positive Margins ◽  
The Impact

Background Data regarding the effect of conversion from minimally invasive surgery (MIS) to laparotomy in rectal cancer is limited. This study examines the impact of conversion from laparoscopic or robotic-assisted techniques to open resection on oncologic outcomes in a large population database. Methods The National Cancer Database from 2010 to 2016 was reviewed for all cases of invasive adenocarcinoma of the rectum or rectosigmoid junction managed surgically. Patients were divided into 3 cohorts by approach: laparoscopic/robotic (MIS), converted proctectomy (CP), and open proctectomy (OP). Kaplan–Meier estimation was used for unadjusted survival analysis, followed by adjusted multivariable Cox-Proportional Hazards regression. Secondary outcomes were analyzed by multivariable logistic regression. Results The inclusion criteria identified 57 574 patients cases of adenocarcinoma of the rectum managed surgically. Of these patients, 23 579 (41.0%) underwent MIS, 3591 (6.2%) CP, and 30 404 (52.8%) OP. Five-year overall survival was greater in the MIS (70.4%) versus CP and OP (64.4% and 61.4%). No differences were detected for positive margins, 30-day, or 90-day mortality between CP and OP. MIS and CP approaches were significantly associated with increased odds of 12 or more regional lymph nodes examined and decreased overall mortality hazard compared with OP (all respective significant P < .05). Discussion While similar odds of positive margins and short-term mortality is seen in patients whose procedure converts to laparotomy compared with planned laparotomy, both short-term and long-term oncologic benefit is seen in those who undergo a minimally invasive approach. Thus, a minimally invasive approach should be attempted for patients with rectal cancer.

scholarly journals Surgical and oncological short-term outcomes of prone extralevator abdominoperineal excision for low rectal cancer

2018 ◽  
Vol 38 (2) ◽  
pp. 124-131
Author(s):  
Daniel Cesar ◽  
Rodrigo Araujo ◽  
Marcus Valadão ◽  
Eduardo Linhares ◽  
Fernando Meton ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Abdominoperineal Excision ◽  
Low Rectal Cancer ◽  
Short Term

Minimally Invasive Surgery Results in Improved Short-term Outcomes and Better Lymphadnectomy for Distal Rectal Cancer

2011 ◽  
Vol 165 (2) ◽  
pp. 300
Author(s):  
C.L. Marshall ◽  
S.T. Orcutt ◽  
C.J. Balentine ◽  
C.N. Robinson ◽  
A. Artinyan ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Short Term ◽  
Distal Rectal Cancer
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