Standardized laparoscopic rectal cancer surgery: 5 years follow-up results in 106 unselected patients


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ASOĞLU O., KUNDUZ E., ÖZGÜR İ., İŞCAN A. Y., GÜLLÜOĞLU M., KAPRAN Y.

7. Scientific and Annual Meeting of the European Society of Coloproctology, Viyana, Avusturya, 26 - 28 Eylül 2012, cilt.14, ss.1-76 identifier

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 14
  • Doi Numarası: 10.1111/j.1463-1318.2012.03153.x
  • Basıldığı Şehir: Viyana
  • Basıldığı Ülke: Avusturya
  • Sayfa Sayıları: ss.1-76
  • İstanbul Üniversitesi Adresli: Evet

Özet

Aim: Showing the long term oncologic outcomes of the standardized laparoscopic rectum cancer

surgery.

Method: Consecutive 106 rectum cancer patients who were underwent laparoscopic rectal surgery

were evaluated. All cases were operated by a single surgeon with standardized technique. Technique

includes ligation of the inferior mesenteric artery at the origin while seeing and preserving the superior

hypogastric plexus, sharp dissection with unipolar cautery was applied for medial to lateral mobilizing

of left colon and total mesorectal excision. Demographic data, pathologic results and oncologic

follow-up were registered prospectively.

Results: Median follow-up is 61 months. 64 (60%) cases were underwent neoadjuvant treatment.

Conversion to open was seen in 12 cases (11.3%). Circumferential surgical margin involvement was

seen in six cases (5.7%). R0 resection was performed in 100 cases (94.3%). Local recurrence was

occurred in five cases (4.7%), disease free survival is 82.7% for 5 years follow-up, also overall survival

was 83.4% and local recurrence free survival was 95%.

Conclusion: Laparoscopic rectal cancer resections still remain controversial due to fears that

oncologic and pathologic principles will be compromised. Laparoscopic technique must provide the

integrity of the mesorectum and negative circumferential margin. Standardized laparoscopic technique

after supplementing learning curve could provide good oncologic outcomes.