ArticleSurgical endoscopy2005
The oncological safety of laparoscopic total mesorectal excision with sphincter preservation for rectal carcinoma.
Article in Surgical endoscopy, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- Laparoscopy is non-inferior to open surgery for rectal cancer: A systematic review and meta-analysis.Cancer medicine · 2024Pooled it
- The comprehensive therapeutic effects of rectal surgery are better in laparoscopy: a systematic review and meta-analysis.Oncotarget · 2017Pooled it
- Robotic versus laparoscopic total mesorectal excision for rectal cancer: a meta-analysis of eight studies.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Pooled it
- Laparoscopy for rectal cancer is oncologically adequate: a systematic review and meta-analysis of the literature.Surgical endoscopy · 2015Pooled it
- Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).Surgical endoscopy · 2011Guideline
- Trial
- Ultrasonically activated scalpel versus monopolar electrocautery shovel in laparoscopic total mesorectal excision for rectal cancer.World journal of gastroenterology · 2008Trial
- Article
- Evolution of transanal total mesorectal excision for rectal cancer: From top to bottom.World journal of gastrointestinal surgery · 2018Review
- Total mesorectal excision for mid and low rectal cancer: Laparoscopic vs robotic surgery.World journal of gastroenterology · 2016Article
- The Learning Curve of Robotic-Assisted Low Rectal Resection of a Novice Rectal Surgeon.World journal of surgery · 2016Article
- Outcomes in 132 patients following laparoscopic total mesorectal excision (TME) for rectal cancer with greater than 5-year follow-up.Surgical endoscopy · 2016Article
- Observational
- Long-Term Oncologic Outcomes of Laparoscopic versus Open Surgery for Middle and Lower Rectal Cancer.PloS one · 2015Article
- Laparoscopic total mesorectal excision for extraperitoneal rectal cancer: long-term results.International journal of colorectal disease · 2014Article
- Predicting the pathological features of the mesorectum before the laparoscopic approach to rectal cancer.Surgical endoscopy · 2014Article
- Laparoscopic rectal resection versus open rectal resection with minilaparotomy for invasive rectal cancer.Journal of gastrointestinal oncology · 2014Article
- Influence of conversion on the perioperative and oncologic outcomes of laparoscopic resection for rectal cancer compared with primarily open resection.Surgical endoscopy · 2013Article
- The multiphasic learning curve for robot-assisted rectal surgery.Surgical endoscopy · 2013Article
- Metastatic lymph node ratio as a prognostic factor after laparoscopic total mesorectal excision for extraperitoneal rectal cancer.Surgical endoscopy · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough experience of laparoscopic treatment of rectal carcinoma has been reported, there is no evidence of its oncological safety because most procedures included partial mesorectal excision or abdominoperineal excision and quality of surgery is lacking. The aim of this study was to assess the oncological results of laparoscopic total mesorectal excision with sphincter preservation for rectal carcinoma.
methodsFrom 2000 to 2003, 144 patients underwent laparoscopic total mesorectal excision with low colorectal or coloanal anastomosis for mid and low rectal adenocarcinoma. There were 88 men and 56 women, with a median age of 65 years. The tumor was located at 5.5 cm (range 1-12) from the anal verge and was classified uT1T2 in 25 cases and uT3 in 119 cases. One hundred twenty patients received preoperative radiotherapy.
resultsPostoperative mortality and morbidity were 1% and 34% respectively. Conversion was 14% (n = 20). Macroscopic assessment of the specimen (n = 92) showed an intact mesorectum in 88% of the cases. The distal margin and the circumferential margin were safe in 98% and 94% of the cases, respectively. A complete microscopic excision, i.e., R0 resection, was achieved in 134 cases (93%). Pathological data were similar to those of an open match group. With a median follow-up of 18 months, there was no port-site recurrence and two patients had local recurrence (1.4%). The 3-year overall and disease- free survival rates were 89% and 77%, respectively.
conclusionsA high quality of surgical excision can be achieved by the laparoscopic dissection, suggesting that this approach in treatment of rectal carcinoma is oncologically safe.
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