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- Title
Laparoscopic vs open total mesorectal excision for rectal cancer: an evaluation of the mesorectum's macroscopic quality.
- Authors
Breukink, S. O.; Grond, A. J. K.; Pierie, J. P. E. N.; Hoff, C.; Wiggers, T.; Meijerink, W. J. H. J.
- Abstract
<bold>Background: </bold>Next to surgical margins, yield of lymph nodes, and length of bowel resected, macroscopic completeness of mesorectal excision may serve as another quality control of total mesorectal excision (TME). In this study, the macroscopic completeness of laparoscopic TME was evaluated.<bold>Methods: </bold>A series of 25 patients with rectal cancer were managed laparoscopically (LTME) and included in this study. The pathologic specimens of the LTME group were prospectively examined and matched with a historical group of resection specimens from patients who had undergone open TME (OTME). The two groups were matched for gender and type of resection (low anterior or abdominoperineal resection). Special care was given to the macroscopic judgment concerning the completeness of the mesorectum.<bold>Results: </bold>A three-grade scoring system showed no differences between the LTME and OTME groups.<bold>Conclusion: </bold>The current study supports the hypothesis that oncologic resection using laparoscopic TME is feasible and adequate.
- Subjects
RECTAL cancer; LAPAROSCOPY; CANCER patients; LYMPHATICS; PROBLEM solving; TOTAL quality management; COMPARATIVE studies; DIGESTIVE organ surgery; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RECTUM tumors; RESEARCH; EVALUATION research
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2005, Vol 19, Issue 3, p307
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-004-9066-8