Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Laparoscopic Versus Open Approach for Intersphincteric Resection—Results from a Tertiary Cancer Center in India

Laparoscopic Versus Open Approach for Intersphincteric Resection—Results from a Tertiary Cancer... Abstract The study aims to compare open intersphincteric resection (OISR) with laparoscopic intersphincteric resection (LISR) in terms of short-term oncological and clinical outcomes. This is a retrospective review of a prospectively maintained database including all the patients of rectal cancer who underwent intersphincteric resection (ISR) at Tata Memorial Centre between 1st July 2013 and 30th November 2015. Short-term oncological parameters evaluated included circumferential resection margin involvement (CRM), distal resection margin involvement, and number of nodes harvested. Perioperative outcomes included blood loss, length of hospital stay and 30-day postoperative morbidity and mortality. Chi-square test was used to compare the results between the two groups. Thirty nine cases of OISR and 34 cases of LISR were included in the study. Median BMI was higher in LISR group; otherwise, the two groups were comparable in all aspects. There were no conversions in LISR group. CRM involvement was seen in four patients (10%) in the conventional group compared to none in the LISR group. Median hospital stay was comparable between the two groups. Laparoscopic ISR is safe and can be performed with low conversion rate in selected group of patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Indian Journal of Surgical Oncology Springer Journals

Laparoscopic Versus Open Approach for Intersphincteric Resection—Results from a Tertiary Cancer Center in India

Download PDF
5 pages

Loading next page...
 
/lp/springer-journals/laparoscopic-versus-open-approach-for-intersphincteric-resection-jX0Nl4xYt0
Publisher
Springer Journals
Copyright
2017 Indian Association of Surgical Oncology
ISSN
0975-7651
eISSN
0976-6952
DOI
10.1007/s13193-017-0672-z
Publisher site
See Article on Publisher Site

Abstract

Abstract The study aims to compare open intersphincteric resection (OISR) with laparoscopic intersphincteric resection (LISR) in terms of short-term oncological and clinical outcomes. This is a retrospective review of a prospectively maintained database including all the patients of rectal cancer who underwent intersphincteric resection (ISR) at Tata Memorial Centre between 1st July 2013 and 30th November 2015. Short-term oncological parameters evaluated included circumferential resection margin involvement (CRM), distal resection margin involvement, and number of nodes harvested. Perioperative outcomes included blood loss, length of hospital stay and 30-day postoperative morbidity and mortality. Chi-square test was used to compare the results between the two groups. Thirty nine cases of OISR and 34 cases of LISR were included in the study. Median BMI was higher in LISR group; otherwise, the two groups were comparable in all aspects. There were no conversions in LISR group. CRM involvement was seen in four patients (10%) in the conventional group compared to none in the LISR group. Median hospital stay was comparable between the two groups. Laparoscopic ISR is safe and can be performed with low conversion rate in selected group of patients.

Journal

Indian Journal of Surgical Oncology – Springer Journals

Published: Dec 1, 2017

Keywords: surgical oncology; oncology; surgery

References

  • Intersphincteric resection for low rectal tumours
    R Schiessel, J Karner-Hanusch, F Herbst, B Teleky, M Wunderlich
  • Systematic review of outcomes after intersphincteric resection for low rectal cancer
    ST Martin, HM Heneghan, DC Winter
  • Oncologic outcomes of intersphincteric resection without preoperative chemoradiotherapy for very low rectal cancer
    Y Akagi, K Shirouzu, Y Ogata, T Kinugasa
  • Oncological outcome of ultra-low coloanal anastomosis with and without intersphincteric resection for low rectal adenocarcinoma
    G Portier, L Ghouti, S Kirzin, R Guimbaud, M Rives, F Lazorthes
  • Oncologic outcome of intersphincteric resection for very low rectal cancer
    N Saito, M Sugito, M Ito, A Kobayashi, Y Nishizawa, Y Yoneyama
  • Intersphincteric resection for very low rectal cancer: a systematic review
    Y Akagi, T Kinugasa, K Shirouzu
  • Total mesorectal excision: assessment of the laparoscopic approach
    JE Hartley, BJ Mehigan, AE Qureshi, GS Duthie, PW Lee, JR Monson
  • Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial
    S-B Kang, JW Park, S-Y Jeong, BH Nam, HS Choi, D-W Kim
  • Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial
    MH Pas, E Haglind, MA Cuesta, A Fürst, AM Lacy, WC Hop
  • Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial
    PJ Guillou, P Quirke, H Thorpe, J Walker, DG Jayne, AMH Smith
  • Laparoscopic ultralow anterior resection combined with per anum intersphincteric rectal dissection for lower rectal cancer
    M Watanabe, T Teramoto, H Hasegawa, M Kitajima
  • Safety and feasibility of laparoscopic intersphincteric resection for very low rectal cancer
    Y Fujimoto, T Akiyoshi, H Kuroyanagi, T Konishi, M Ueno, M Oya
  • Laparoscopic intersphincteric resection and hand-sewn coloanal anastomosis: a natural orifice specimen extraction technique
    VD Pai, A Desouza, JL Menezes, AP Saklani
  • Laparoscopic versus open intersphincteric resection and coloanal anastomosis for low rectal cancer: intermediate-term oncologic outcomes
    JS Park, G-S Choi, SH Jun, S Hasegawa, Y Sakai
  • Intersphincteric resection for very low rectal cancer: clinical outcomes of open versus laparoscopic approach and multidimensional analysis of the learning curve for laparoscopic surgery
    L-J Kuo, C-S Hung, W Wang, K-W Tam, H-C Lee, H-H Liang
  • Sphincter preservation in low rectal cancer is facilitated by preoperative chemoradiation and intersphincteric dissection
    MR Weiser, H-M Quah, J Shia, JG Guillem, PB Paty, LK Temple
  • Intersphincteric resection for low rectal cancer: an overview
    CP Spanos
  • Intersphincteric resection and hand-sewn coloanal anastomosis for low rectal cancer: short-term outcomes in the Indian setting
    VD Pai, A Souza, P Patil, R Engineer, S Arya, A Saklani
  • Laparoscopic intersphincteric resection with coloplasty and coloanal anastomosis for mid and low rectal cancer
    E Rullier, A Sa Cunha, P Couderc, A Rullier, R Gontier, J Saric
  • Short-term outcomes of laparoscopic intersphincteric resection for lower rectal cancer and comparison with open approach
    S Yamamoto, S Fujita, T Akasu, R Inada, M Takawa, Y Moriya
  • Robotic versus laparoscopic intersphincteric resection for low rectal cancer: comparison of the operative, oncological, and functional outcomes
    B-E Yoo, J-S Cho, J-W Shin, D-W Lee, J-M Kwak, J Kim
  • Laparoscopic-assisted resection of colorectal malignancies: a systematic review
    AE Chapman, MD Levitt, P Hewett, R Woods, H Sheiner, GJ Maddern