Laparoscopic Salvage Surgery for Locally Recurrent Rectal Cancer

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• 作者：Toshiya Nagasaki (1)
  Takashi Akiyoshi (1)
  Masashi Ueno (1)
  Yosuke Fukunaga (1)
  Satoshi Nagayama (1)
  Yoshiya Fujimoto (1)
  Tsuyoshi Konishi (1)
  Toshiharu Yamaguchi (1)
  
• 关键词：Laparoscopic surgery ; Locally recurrent rectal cancer ; Anastomotic site ; Lateral pelvic lymph node
• 刊名：Journal of Gastrointestinal Surgery
• 出版年：2014
• 出版时间：July 2014
• 年：2014
• 卷：18
• 期：7
• 页码：1319-1326
• 全文大小：
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• 作者单位：Toshiya Nagasaki (1)
  Takashi Akiyoshi (1)
  Masashi Ueno (1)
  Yosuke Fukunaga (1)
  Satoshi Nagayama (1)
  Yoshiya Fujimoto (1)
  Tsuyoshi Konishi (1)
  Toshiharu Yamaguchi (1)
  
  1. Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan
  
• ISSN：1873-4626

文摘

Background Surgical treatment for locally recurrent rectal cancer is challenging, and the value of laparoscopic surgery in such cases is unknown. The purpose of this study was to compare the feasibility of laparoscopic surgery with that of open surgery for locally recurrent rectal cancer. Methods Thirty patients with local rectal cancer recurrence at the anastomotic site or lateral pelvic lymph nodes were evaluated. Perioperative outcomes were compared between the laparoscopic (n--3) and open (n--7) groups. Results The median operation time was significantly longer (381 vs. 241?min) but the median estimated blood loss tended to be smaller (110 vs. 450?mL) in the laparoscopic than in the open group. There was only one converted case (7.7?%). The R0 resection rate (100 vs. 94?%) and postoperative complications (31 vs. 24?%) were not significantly different between the two groups. The median times to flatus (1 vs. 2?days), first stool (2 vs. 5?days), and oral intake (2 vs. 5?days) were significantly shorter in the laparoscopic than in the open group. Conclusion Laparoscopic surgery for locally recurrent rectal cancer has short-term benefits over open surgery and has potential as a treatment option for locally recurrent rectal cancer.