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- Title
Laparoscopic sphincter-preserving total mesorectal excision: 10-year report.
- Authors
Cheung, H. Y. S.; Ng, K. H.; Leung, A. L. H.; Chung, C. C.; Yau, K. K.; Li, M. K. W.
- Abstract
Total mesorectal excision (TME) is currently the gold standard for resection of mid or low rectal cancer and is associated with a low local recurrence rate. However, few studies have reported the long-term oncological outcome following use of a laparoscopic approach. The aim of this study was to evaluate the long-term oncological outcome after laparoscopic sphincter-preserving TME with a median follow up of about 4 years. Patients with mid or low rectal cancer who underwent laparoscopic sphincter-preserving TME with curative intent between March 1999 and March 2009 were prospectively recruited for analysis. During the 10-year study period, 177 patients underwent laparoscopic sphincter-preserving TME with curative intent for rectal cancer. Conversion was required in two (1%) patients. There was no operative mortality. At a median follow-up period of 49 months, local recurrence had occurred in nine (5.1%) patients. The overall metastatic recurrence rate after curative resection was 22%. The overall 5-year survival and 5-year disease-free survival in the present study were 74% and 71%, respectively. The results of this study show that laparoscopic sphincter-preserving TME is safe with long-term oncological outcomes comparable to those of open surgery.
- Subjects
SPHINCTER surgery; LAPAROSCOPIC surgery; LAPAROSCOPY; ABDOMINAL examination; RECTAL cancer; CANCER patients
- Publication
Colorectal Disease, 2011, Vol 13, Issue 6, p627
- ISSN
1462-8910
- Publication type
Article
- DOI
10.1111/j.1463-1318.2010.02235.x