Title: Comparison of Clinical Outcomes of Laparoscopic Assisted Vs Open Surgery for Rectal Cancers- A Retrospective Study
Authors: Dr Akshay H Nerlekar, Dr N J Gadekar, Dr J M Gadekar
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.128
Abstract
Introduction: Rapidly developed technique in rectal surgery is the laparoscopic procedure. In this investigation aim is to assess the distinctiveness of short-term and medium-term clinical outcomes of laparoscopic-assisted versus open surgery for rectal cancer.
Methods: Patients with non-metastatic rectal cancer were enrolled for this study. They were 51 in number. The patients underwent either laparoscopic-assisted surgery (LAP) (n = 25) or open surgery (OP)(n = 26). Surgical techniques, perioperative managements and clinical follow-ups were standardized. Short-term perioperative data, medium-term clinical outcomes &survival were compared and analysed between the two groups.
Results: No differences were found in perioperative parameters between the two groups except that there was a trend of faster recovery in laparoscopic procedures. Statistically there was no significant difference in postoperative complications, re operation rate, or perioperative mortality. There was statistically significant difference in a faster return of gastrointestinal function and shorter hospital stay which were identified in favour of laparoscopic-assisted resection. In all rectal cancer cases, the overall survival, cancer-free survival and recurrence rate were same in two groups. No tendency of significant differences in overall survival, cancer-free survival and recurrence in stage I-II and stage III patients in two cancer categories between the two groups, respectively.
Conclusions: In the treatment of non-metastatic rectal cancer, Laparoscopic-assisted procedure has more benefits on postoperative recovery, medium-term clinical outcomes &survival as compared with open surgery.
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