A controlled study on the efficacy and quality of life of laparoscopic intersphincteric resection (ISR) and extralevator abdominoperineal resection (ELAPE) in the treatment of extremely low rectal cancer

Medicine ◽  
2020 ◽  
Vol 99 (22) ◽  
pp. e20245
Author(s):  
Wenming Yang ◽  
Libin Huang ◽  
Peng Chen ◽  
Yun Yang ◽  
Xueting Liu ◽  
...  
2004 ◽  
Vol 47 (6) ◽  
pp. 832-838 ◽  
Author(s):  
Frédéric Bretagnol ◽  
Eric Rullier ◽  
Christophe Laurent ◽  
Frank Zerbib ◽  
Renaud Gontier ◽  
...  

2020 ◽  
Author(s):  
Xianwei Mo ◽  
Wentao Wang ◽  
Haiquan Qin ◽  
Hao Lai ◽  
Zigao Huang ◽  
...  

Abstract Purpose The aim of the study is to evaluate the surgical and oncology outcomes between laparoscopic Intersphincteric Resection (LISR) and laparoscopic-assisted Abdominoperineal Resection (LARC) for ultra-low rectal cancer patients by using a retrospective analysis, and a meta-analysis of the literature was carried out to further validate the oncology outcome. Patients and methods: Between April 2014 and December 2015, a total of 38 rectal cancer patients who underwent LISR and 41 LARC patients were enrolled in this study. The comparison between the groups was based on clinicopathological characteristics and surgical outcomes. Meta-analysis of published studies, exploring oncology outcome of between LISR and LARC, was carried out using STATA 12.0 software. Results Operating time, blood loss, length of hospital stay, and postoperative complication rates was similar between LISR group and LARC group; Patients undergoing LISR also had a similarly 5-year local recurrence and overall survival rate with LAPR. Meta-analysis showed that five studies, which included a total of 791 patients were final involved for this analysis. Comparing APR, ISR patients obtain similarly 5-years recurrence rate and 5-years survival rate. Conclusion This study suggests that LISR is as technically feasible, safe, and effective as LARC for treating patients with low rectal cancer. Additional high-powered randomized trials are needed to determine whether LISR truly offers any advantages.


2012 ◽  
Vol 28 (4) ◽  
pp. 503-510 ◽  
Author(s):  
Thilo Welsch ◽  
Vyron Mategakis ◽  
Pietro Contin ◽  
Yakup Kulu ◽  
Markus W. Büchler ◽  
...  

Clinics ◽  
2011 ◽  
Vol 66 (6) ◽  
pp. 1035-1040 ◽  
Author(s):  
Luiz Felipe de Campos-Lobato ◽  
Patricia Cristina Alves-Ferreira ◽  
Ian C. Lavery ◽  
Ravi P Kiran

2010 ◽  
Vol 13 (6) ◽  
pp. 638-643 ◽  
Author(s):  
G. Barisic ◽  
V. Markovic ◽  
M. Popovic ◽  
I. Dimitrijevic ◽  
P. Gavrilovic ◽  
...  

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