Impact of surgical approach on short‐term oncological outcomes and recovery following low anterior resection for rectal cancer

2019 ◽  
Vol 21 (8) ◽  
pp. 932-942 ◽  
Author(s):  
L. Z. Hyde ◽  
O. Baser ◽  
S. Mehendale ◽  
D. Guo ◽  
M. Shah ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Surgical Approach ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Short Term ◽  
Oncological Outcomes

Short-Term Clinical and Oncological Outcomes after Single-Incision Plus One Port Laparoscopic Anterior Resection for Rectal Cancer

2017 ◽  
Vol 35 (2) ◽  
pp. 111-115 ◽  
Author(s):  
Yasumitsu Hirano ◽  
Masakazu Hattori ◽  
Kenji Douden ◽  
Mari Shimada ◽  
Yasuo Hashizume
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Single Incision ◽  
Short Term ◽  
Laparoscopic Anterior Resection ◽  
Oncological Outcomes

scholarly journals Impact of diverting stoma in low anterior resection for rectal cancer on short-term surgical outcomes and reoperation

2017 ◽  
Vol 28 ◽  
pp. iii134
Author(s):  
Hussein Fakhry ◽  
Murad Jaber ◽  
Gamal Amira
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Surgical Outcomes ◽  
Low Anterior Resection ◽  
Short Term ◽  
Diverting Stoma

Introduction of laparoscopic low anterior resection for rectal cancer early during residency: a single institutional study on short-term outcomes

2010 ◽  
Vol 24 (11) ◽  
pp. 2822-2829 ◽  
Author(s):  
Satoshi Ogiso ◽  
Takashi Yamaguchi ◽  
Hiroaki Hata ◽  
Hiroya Kuroyanagi ◽  
Yoshiharu Sakai
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Short Term ◽  
Laparoscopic Low Anterior Resection

scholarly journals Long-term oncological outcomes of low anterior resection for rectal cancer with and without preservation of the left colic artery: A retrospective cohort study.

2020 ◽  
Author(s):  
Yuwen Luo ◽  
Rongjiang Li ◽  
Deqing Wu ◽  
Jun Zeng ◽  
Junjiang Wang ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Disease Free Survival ◽  
Colic Artery ◽  
Left Colic Artery ◽  
Oncological Outcomes ◽  
Tumor Node Metastasis Stage

Abstract BackgroundThere is uncertainty in the literature about the best surgical approach for low anterior resection of rectal cancer to deal with the inferior mesenteric artery (IMA), that is to preserve left colic artery or not. We analyzed the effect of preserving the left colic artery (LCA) on long-term oncological outcomes. MethodsWe retrospectively collected clinicopathological and follow-up details of patients who underwent low anterior resection for rectal cancer in the General Surgery Department of Guangdong Provincial People's Hospital, from January 2014 to December 2015. Cases were divided into low ligation (LL) or high ligation (HL) of the IMA The 5-year overall survival (OS) and disease-free survival (DFS) rates were compared between the two groups. ResultsAltogether, there were 221 cases in the LL group (LCA preserved) and 295 cases in the HL group (LCA not preserved). Postoperative 30-day mortality was 0.9% in the LL group and 1.4% in the HL group. Early complications occurred in 41.2% patients in the LL group and 38.3% in the HL group. Anastomotic leakage occurred in 8.6% of patients in the LL group and in 13.2% in the HL group. The numbers of lymph nodes harvested were 18.8 ± 9.6 in the LL group and 17.0 ± 6.6 in the HL group. The median follow-up periods were 51.4 (7–61) months in the LL group and 51.2 (8–61) months in the HL group. During follow-up, the percentages of patients who died, had local recurrence, or had metastases were 39.8%, 7.7%, and 38.5%, respectively, in the LL group and 39%, 8.5%, and 40%, respectively, in the HL group; these differences were not significant (all P ＞ 0.05). The 5-year OS and DFS were 69.6% and 59.6% in the LL group, respectively, and 60.1% and 56.2% in the HL group, respectively; these differences were not significant (all P ＞ 0.05). After stratification by tumor-node-metastasis stage, the difference between the 5-year OS and DFS for stages I, II, and III cancer were not significant (all P ＞ 0.05). ConclusionsThe long-term oncological outcomes of low anterior resection for rectal cancer with preservation of the LCA are comparable with those of ligation at the IMA origin.

scholarly journals Defunctioning stoma and short- and long-term outcomes after low anterior resection for rectal cancer—a nationwide register–based cohort study

2021 ◽  
Author(s):  
Soran Gadan ◽  
Judith S. Brand ◽  
Martin Rutegård ◽  
Peter Matthiessen
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Long Term Outcomes ◽  
Defunctioning Stoma ◽  
Oncological Outcomes ◽  
All Cause Mortality ◽  
Short And Long Term

Abstract Purpose A defunctioning stoma reduces the risk of symptomatic anastomotic leakage after low anterior resection for rectal cancer and mitigates the consequences when a leakage occurs, but the impact on mortality and oncological outcomes is unclear. The aim was to investigate the associations of a defunctioning stoma with short- and long-term outcomes in patients undergoing low anterior resection for rectal cancer. Methods Data from all patients who underwent curative low anterior resection for rectal cancer between 1995 and 2010 were obtained from the Swedish Colorectal Cancer Register. A total of 4130 patients, including 2563 with and 1567 without a defunctioning stoma, were studied. Flexible parametric models were used to estimate hazard ratios for all-cause mortality, 5-year local recurrence, and distant metastatic disease in relation to the use of defunctioning stoma, adjusting for confounding factors and accounting for potential time-dependent effects. Results During a median follow-up of 8.3 years, a total of 2169 patients died. In multivariable analysis, a relative reduction in mortality was observed up to 6 months after surgery (hazard ratio = 0.82: 95% CI 0.67–0.99), but not thereafter. After 5 years of follow-up, 4.2% (173/4130) of the patients had a local recurrence registered and 17.9% (741/4130) had developed distant metastatic disease, without difference between patients with and without defunctioning stoma. Conclusion A defunctioning stoma is associated with a short-term reduction in all-cause mortality in patients undergoing low anterior resection for rectal cancer without any difference in long-term mortality and oncological outcomes, and should be considered as standard of care.

Robotic Versus Laparoscopic Low Anterior Resection of Rectal Cancer: Short-Term Outcome of a Prospective Comparative Study

2009 ◽  
Vol 16 (6) ◽  
pp. 1480-1487 ◽  
Author(s):  
Seung Hyuk Baik ◽  
Hye Youn Kwon ◽  
Jin Soo Kim ◽  
Hyuk Hur ◽  
Seung Kook Sohn ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Comparative Study ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Short Term ◽  
Term Outcome ◽  
Laparoscopic Low Anterior Resection ◽  
Short Term Outcome ◽  
Prospective Comparative Study

Short‐term outcomes of pelvic floor peritoneum closure in endoscopic low anterior resection of rectal cancer: A propensity score matching analysis

2020 ◽  
Vol 123 (1) ◽  
pp. 271-277
Author(s):  
Li Chuan ◽  
Gao Linfeng ◽  
Liu Hongchang ◽  
Wang Xiaosong ◽  
Luo Huaxing ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Propensity Score ◽  
Pelvic Floor ◽  
Propensity Score Matching ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Short Term ◽  
Propensity Score Matching Analysis

Tu1582 The Effect of Surgical Approach on the Use of Adjuvant Chemotherapy Following Low Anterior Resection for Rectal Cancer

2014 ◽  
Vol 146 (5) ◽  
pp. S-1080-S-1081
Author(s):  
Asvin M. Ganapathi ◽  
Brian R. Englum ◽  
Paul J. Speicher ◽  
Anthony Castleberry ◽  
Julie K. Thacker ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Adjuvant Chemotherapy ◽  
Surgical Approach ◽  
Anterior Resection ◽  
Low Anterior Resection

scholarly journals Long-term oncological outcomes of low anterior resection for rectal cancer with and without preservation of the left colic artery: a retrospective cohort study

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuwen Luo ◽  
Rongjiang Li ◽  
Deqing Wu ◽  
Jun Zeng ◽  
Junjiang Wang ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Colic Artery ◽  
Early Complications ◽  
Left Colic Artery ◽  
Oncological Outcomes

Abstract Background There is uncertainty in the literature about preserving the left colic artery (LCA) during low anterior resection for rectal cancer. We analyzed the effect of preserving the LCA on long-term oncological outcomes. Methods We retrospectively collected clinicopathological and follow-up details of patients who underwent low anterior resection for rectal cancer in the General Surgery Department of Guangdong Provincial People’s Hospital, from January 2014 to December 2015. Cases were divided into low ligation (LL), LCA preserved, or high ligation (HL), LCA not preserved, of the inferior mesenteric artery. The 5-year overall survival (OS) and disease-free survival (DFS) rates were compared between the two groups. Results Altogether, there were 221 and 295 cases in the LL group and HL groups, respectively. Operating time in the LL group was significantly longer than in the HL group (224.7 vs. 211.7 min, p = 0.039). Postoperative 30-day mortality, early complications including anastomotic leakage showed no significant differences between the LL and HL groups (postoperative 30-day mortality, 0.9% LL, 1.4% HL, p = 0.884; early complications, 41.2% LL, 38.3% HL, p = 0.509; anastomotic leakage 8.6% LL, 13.2% HL, p = 0.100). The median follow-up periods were 51.4 (7–61) months in the LL group and 51.2 (8–61) months in the HL group. During follow-up, the percentages of patients who died, had local recurrence, or had metastases were 39.8, 7.7, and 38.5%, respectively, in the LL group and 39, 8.5, and 40%, respectively, in the HL group; these differences were not significant (all p > 0.05). The 5-year OS and DFS were 69.6 and 59.6% in the LL group, respectively, and 69.1 and 56.2% in the HL group, respectively; these differences were not significant (all p > 0.05). After stratification by tumor-node-metastasis stage, the difference between the 5-year OS and DFS for stages I, II, and III cancer were not significant (all p > 0.05). Conclusions The long-term oncological outcomes of LL group are comparable with HL group. LL cannot be supported due to the absence of lower complication rates and the longer operating times.

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