| Title: |
Survival after Laparoscopic Versus Open Curative Excision for Rectal Cancer: A Retrospective Cohort Study. |
| Authors: |
Alshammari, Turki; Alshammari, Sulaiman; Alsaffar, Ali; Hakami, Riyadh; Alali, Mohammed; Alhomoud, Samar; Ashari, Luai; Abduljabbar, Alaa; Bazarbashi, Mohammed; Aljurban, Ali; Alzahrani, Ahmed; Alsuhailbani, Abdullah; Almanea, Hadeel; Alhussainin, Hussa; Alsanea, Nasser |
| Source: |
Integrative Journal of Medical Sciences; 2020, Vol. 7, p1-6, 6p |
| Subject Terms: |
RECTAL cancer treatment; LAPAROSCOPY; COHORT analysis; SURGICAL excision; CANCER relapse |
| Abstract: |
Background: Management of rectal cancer has been evolved over the past two decades with the introduction of total mesorectal excision (TME) and laparoscopic resection. Objective: This study aims to assess the difference in the long term outcomes after laparoscopic and open resection for potentially curable, non-metastatic rectal cancer patients. Methods: This is a retrospective study which has been conducted in a single tertiary care center where the patients were recruited from the colorectal database of the Section of Colon and Rectal Surgery at King Faisal Specialist Hospital & Research Centre (KFSH&RC). It included all the patients who had non-metastatic rectal cancer and underwent laparoscopic or open curative resection regardless of their age or the comorbid status during the period from January 2012 - December 2015. We studied the long-term outcomes for those patients which included the completeness of resection of the tumor, overall 3-year survival, 3-year disease free survival, local recurrence and distal recurrence of the cancer. Results: 120 patients were included in this study, 69 of them were males and 51 were females. 86 (71.7%) of them underwent open surgery while 34 (28.3%) underwent laparoscopic surgery. After a mean follow up of 32.4 months: 104 patients were alive, 7 deceased and 9 were lost of follow up. Local recurrence in the open approach (OA), and laparoscopic approach (LA) groups was 3/86 (3.5%) and 4/34 (11.8%) respectively. Distal recurrence occurred in 12/86 (14%) of OA and 5/34 (14.7%) of LA. Overall 3-years survival for OA and LA was 89% and 97% respectively and the 3-years disease free survival was 49% and 57% respectively. Conclusion: Laparoscopic and open rectal excision were similar in their outcome. [ABSTRACT FROM AUTHOR] |
| : |
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| Database: |
Complementary Index |