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A Comparison of Laparoscopic and Open Technique in Patients with Low Anterior Resection due to Rectal Cancer
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Original Article
VOLUME: 54 ISSUE: 1
P: 63-73
2021

A Comparison of Laparoscopic and Open Technique in Patients with Low Anterior Resection due to Rectal Cancer

Acta Haematol Oncol Turc 2021;54(1):63-73
DOI: 10.5505/aot.2021.54871
Yavuz Selim Kahraman 1
Onur Can Güler 2
Bülent Aksel 3
Lütfi Doğan 3
Cihangir Özaslan 3
1. Department of General Surgery, Surgical Oncology Discipline, Sakarya University Medical Faculty, Ankara, Turkey
2. Department of General Surgery, University of Health Sciences Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Resarch Hospital, Ankara, Turkey
3. Department of General Surgery, Surgical Oncology Discipline, University of Health Sciences Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Resarch Hospital, Ankara, Turkey
4.
No information available.
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Received Date: 2020-11-26T21:33:23
Accepted Date: 2021-04-07T09:24:02
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Abstract

INTRODUCTION

Laparoscopic approach in rectal cancer surgery has been become the standard technic.In present study, it was aimed to compare the patients characteristics, postoperative complications and pathological data of the group that underwent laparoscopic low anterior resection (LAR) and underwent LAR by laparotomy(open) due to rectum cancer.

METHODS

In present study, between January 2012 and December 2015, laparoscopic or open LAR was performed by the same surgical team to 201 consecutive patients who diagnosed as rectal cancer. These patients’ gender, age, tumor location, early period complications and pathological datas were evaluated retrospectively.

RESULTS

A total of 201 patients who underwent LAR with 93 (46.6%) laparoscopic and 108 (53.4%).Open surgical techniques were included in the study.There was no mortality in the early postoperative period in either group. Postoperative morbidity (infection, ileus-subileus, anastomotic leakage, stoma complications) was detected in 12 (12.9%) patients in the laparoscopy group and 21 (19.4%) in the open surgery group (p> 0.05).The mean number of dissected lymph nodes in both groups was similar (13.04 ± 7.29 and 13.24 ± 6.58) (p = 0.525). When the distal resection margin (DRM) was compared, the laparoscopic surgery group was found to have a statistically significant farther DRM distance (3.81 ± 1.82 cm vs 3.04 ± 1.81 cm), (p <0.001).The circumferential resection margin (CRM), was more distant in the laparoscopic surgery group (1.89 ± 1.01 cm and 1.45 ± 0.79 cm, p <0.001). DRM and CRM positivity was not detected in anycase in either group.

DISCUSSION AND CONCLUSION

When laparoscopic rectum cancer surgery is performed in high-volume institutions and by experienced surgeons, it is seen that it provides an advantage in terms of early clinical results and oncological data compared to open rectal surgery, especially in terms of DRM and CRM width.