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

scholarly journals Short-term surgical outcomes and patient quality of life between robotic and laparoscopic extralevator abdominoperineal excision for adenocarcinoma of the rectum

2017 ◽  
Vol 99 (8) ◽  
pp. 607-613 ◽  
Author(s):  
D Kamali ◽  
A Reddy ◽  
S Imam ◽  
K Omar ◽  
A Jha ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Robotic Surgery ◽  
Learning Curve ◽  
Surgical Outcomes ◽  
Abdominoperineal Excision ◽  
Low Rectal Cancer ◽  
Short Term ◽  
Significant Difference

Introduction Some studies advocate a laparoscopic extralevator abdominoperineal excision (l-ELAPE) approach for low rectal cancer. The da Vinci™ robot (r-ELAPE) technique has potential to overcome some limitations of l-ELAPE, such as reduction of the learning curve and more precise tissue handling. It is unknown whether this approach results in improved surgical or quality of life outcomes compared with l-ELAPE. This study aimed to address this issue. Methods Consecutive patients having undergone either robotic or laparoscopic ELAPE for adenocarcinoma were studied. All operations were performed by two surgeons experienced in laparoscopic and recently introduced robotic surgery. Surgical outcomes were determined by postoperative histology and short-term complications. Quality of life was prospectively assessed using the European Organisation for Research and Treatment of Cancer QLC-CR30 and QLC-CR29 questionnaires. Results A total of 22 patients (11 r-ELAPE) with a median follow-up of 13 months (8 months robotic; 22 months laparoscopic) were studied. The groups were similarly matched for age, gender, American Society of Anesthesiologists status, preoperative chemoradiotherapy and tumour height. All had R0 resection. There was no significant difference in short-term surgical outcomes between groups. There was no significant difference in mean global health scores between the two groups (74 ± 14 r-ELAPE vs. 73 ± 10 l-ELAPE). The r-ELAPE group had a lower mean impotence score compared with the I-ELAPE group (55.5 ± 40 vs. 72.2 ± 44), although this was not statistically significant. Conclusions The newly introduced r-ELAPE was non-inferior to l-ELAPE in either patient quality of life or surgical outcomes. Robotic surgery could be particularly beneficial in the technically challenging area of low rectal cancer surgery with a shorter learning curve than laparoscopy.

scholarly journals Preliminary Outcome of Individualized Abdominoperineal Excision for Locally Advanced Low Rectal Cancer

2018 ◽  
Vol 131 (11) ◽  
pp. 1268-1274 ◽  
Author(s):  
Yi Zheng ◽  
Jia-Gang Han ◽  
Zhen-Jun Wang ◽  
Zhi-Gang Gao ◽  
Guang-Hui Wei ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Locally Advanced ◽  
Abdominoperineal Excision ◽  
Low Rectal Cancer

scholarly journals Survival and functional and oncological outcomes following intersphincteric resection for low rectal cancer: short-term results

2018 ◽  
Vol 46 (4) ◽  
pp. 1617-1625 ◽  
Author(s):  
Călin Molnar ◽  
Butiurca Vlad-Olimpiu ◽  
Botoncea Marian ◽  
Togănel Cornelia ◽  
Gurzu Simona
Keyword(s):  
Rectal Cancer ◽  
Survival Rate ◽  
Functional Outcomes ◽  
Intersphincteric Resection ◽  
Low Rectal Cancer ◽  
Study Patient ◽  
Reference Ranges ◽  
Short Term ◽  
Wexner Score ◽  
Oncological Outcomes

Objective This study was performed to evaluate the 1-year survival rate and functional outcomes of 20 patients who underwent intersphincteric resection (ISR) for low rectal cancer. Methods Twenty patients who underwent ISR for low rectal cancer were followed up for 1 year. Complications, functional outcomes objectified by the Wexner score, and oncological outcomes were assessed. Results The short-term survival rate was 100%. The median Wexner score was ≤10 in all patients at 12 months after surgery. Signs of local recurrence were absent, and antigen levels remained within the reference ranges 1 year postoperatively. Conclusions ISR is a feasible alternative in highly selected patients who primarily refuse a colostomy bag and present with type II or III tumors. In the present study, patient-reported continence was satisfactory, and the absence of a colostomy bag increased patients’ quality of life. The oncological outcomes were satisfactory at 1 year postoperatively.

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

scholarly journals Extralevator abdominoperineal excision versus abdominoperineal excision for low rectal cancer

2019 ◽  
Vol 132 (20) ◽  
pp. 2446-2456 ◽  
Author(s):  
Xin-Yu Qi ◽  
Ming Cui ◽  
Mao-Xing Liu ◽  
Kai Xu ◽  
Fei Tan ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Abdominoperineal Excision ◽  
Low Rectal Cancer
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