PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2013 | 85 | 10 | 569-575
Tytuł artykułu

Laparoscopic Abdominoperineal Resection Of The Rectum – How Is It Done; Initial Results

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The abdominoperineal resection of the rectum is a classical operation performed in case of patients diagnosed with rectal cancer. The development of laparoscopic techniques in recent years, introduced yet another method of treatment, considering patients with rectal cancer- laparoscopic abdominoperineal resection of the rectum. The aim of the study was to present initial treatment results considering the above-mentioned patients. Material and methods. The study group comprised 25 patients (16 male and 9 female) diagnosed with low-rectal cancer, subjected to surgery by means of the above-mentioned method. Mean patient age amounted to 66 years. Three (12%) patients required conversion to classical surgery (laparotomy), while one patient required reoperation, due to presacral vascular bleeding. Complications were observed in 10 (40%) patients. Average hospitalization was 7 days. In case of all patients the radial margin was negative, and mean number of removed lymph nodes amounted to 9.6. Mortality was not observed during the perioperative period. Due to the initial character of the study analysis (mean observation period in case of 68% of patients was shorter than 2 years), oncological results were not subject to evaluation. Conclusions. Laparoscopic abdominoperineal resections are considered as technically difficult operations, requiring significant experience of the operating team. However, they enable the patient to take advantage of the many assets of minimally invasive surgery, with comparable rates of postoperative complications.
Wydawca

Rocznik
Tom
85
Numer
10
Strony
569-575
Opis fizyczny
Daty
wydano
2013-10-01
online
2013-12-01
Twórcy
  • Department of Clinical and Surgical Oncology, Center of Postgraduate Medical Education in Warsaw, agrous@poczta.wp.p
  • Department of General, Oncologic and Digestive Tract Surgery, Center of Postgraduate Medical Education in Warsaw
  • Department of General, Oncologic and Digestive Tract Surgery, Center of Postgraduate Medical Education in Warsaw
autor
  • Department of Clinical and Surgical Oncology, Center of Postgraduate Medical Education in Warsaw
  • Department of General, Oncologic and Digestive Tract Surgery, Center of Postgraduate Medical Education in Warsaw
Bibliografia
  • 1. Compos-Lobato L, Alves-Ferreira P, Lavery I et al.: Abdominoperineal resection does not decrease quality of life in patients with low rectal cancer. Clinics 2011; 66(6): 1035-40.[WoS][Crossref]
  • 2. Feig B, Ching C: The MD Anderson Surgical Oncology Handbook. Fifth Edition 347-399.
  • 3. Staudacher C, Vignali A: Laparoscopic surgery for cancer: The state of the art. World J GastrointestSurg 2010; 2(9): 275-82.[Crossref]
  • 4. Lin S, Jiang H, Chen Z et al.: Meta-analysis of robotic and laparoscopic surgery for treatment of rectal cancer. World J Gast 2011; 17(47): 5214-20.
  • 5. Perry W, Connaughton JC: Abdominoperineal Resection: How it is done and what are the results. Clin in Colon Rectal Surg 2007; 20: 213-20.[PubMed]
  • 6. Simorov A, Reynoso J, Dolghi O et al.: Comparison of perioperative outcomes in patients undergoing laparoscopic versus open abdominoperineal resection. Am J Surg 2011; 202: 66-72.
  • 7. Kapoor V, Cole J, Frank I et al.: Does the Use of a Flap During Abdominoperineal Resection Decrease Pelvic Wound Morbidity? The AmericanSurgeon 2005; 71: 117-22.
  • 8. Wiatrek R, Scott J, Papaconstatinou TH: Perineal Wound Complications after Abdominoperineal Resection. Clin Colon Rectal Surg 2008; 21: 76-86.[PubMed]
  • 9. Horch R, D’Hoore A, Holm T et al.: Laparoscopic Abdominoperineal Resection with open posterior cyklindrical excision and primary transpelvic VRAM flap. Ann Surg Oncol 2012; 19: 502-03.[Crossref][PubMed][WoS]
  • 10. Jefferies M, Evans M, Hilton et al.: Oncological outcome after laparoscopic abdominoperineal excision of rectum. Colorectal Dis 2011; 14, 967-71.[WoS]
  • 11. Hiranyakas A, Ho YH: Laparoscopic parastomal hernia repair. Dis Colon Rectum 2010; 53(9): 1334-36.[Crossref][WoS][PubMed]
  • 12. Kockerling F, Scheidbach H, Schneider C et al.: Laparoscopic abdominoperineal resection, early postoperativer results of a prospective study involving 116 patients. The Laparoscopic ColorectalSurgery Study Group Dis Colon Rectum 2000; 43(11): 1503-11.
  • 13. Fleshman JW, Wexner SD, Anvari M et al.: Laparoscopic vs. Open abdominoperineal resection for cancer. Dis Colon Rectum 1999; 42(7): 930-39.[PubMed][Crossref]
  • 14. Tarnowski W, Uryszek M, Grous A et al.: Intraoperative difficulties and the reasons for conversion in patients treated with laparoscopic colorectal tumors. Pol Przegl Chir 2012; 84(7): 352-57.[PubMed]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0085
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.