ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2006
[Long-term oncological results after laparoscopic, converted and primary open procedures for rectal carcinoma. Results of a multicenter observational study].
Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Defunctioning Ileostomy After Low Anterior Resection of Rectum: Morbidity Related to Fashioning and Closure.Medicina (Kaunas, Lithuania) · 2024Article
- Visceral obesity and short-term outcomes after laparoscopic rectal cancer resection.Surgical endoscopy · 2020Article
- Are Colon and Rectal Cancer Two Different Tumor Entities? A Proposal to Abandon the Term Colorectal Cancer.International journal of molecular sciences · 2018Review
- [Laparoscopic rectal resection technique].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
- Robotic versus laparoscopic surgery for mid or low rectal cancer in male patients after neoadjuvant chemoradiation therapy: comparison of short-term outcomes.Journal of robotic surgery · 2015Article
- Integration of open and laparoscopic approaches for rectal cancer resection: oncologic and short-term outcomes.Surgical endoscopy · 2014Article
- Long-term oncologic outcome after laparoscopic surgery for rectal cancer.Surgical endoscopy · 2014Article
- Robotic versus laparoscopic surgery for mid-low rectal cancer after neoadjuvant chemoradiation therapy: comparison of oncologic outcomes.International journal of colorectal disease · 2013Article
- Laparoscopic colorectal resection for cancer: effects of conversion on long-term oncologic outcomes.Surgical endoscopy · 2012Article
- Impact of conversion on outcome in laparoscopic colorectal cancer surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2012Article
- Impact of prior abdominal surgery on curative resection of colon cancer via minilaparotomy.Surgery today · 2011Article
- [Quality criteria for treatment of colorectal cancer. From a surgeon's viewpoint].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2010Review
- Laparoscopic surgery for rectal cancer: oncological results and clinical outcome of 225 patients.Surgical endoscopy · 2008Article
- [Problems in the treatment of upper rectal carcinoma].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2008Article
- Conversion rate in 300 laparoscopic rectal resections and its influence on morbidity and oncological outcome.International journal of colorectal disease · 2008Article
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Authors and funding
8 authors.
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Abstract
backgroundThe laparoscopic resection of rectal cancer shows morbidity and oncological safety comparable to the open approach, but morbidity increases after conversion to open resection. No oncological long-term results are available for the latter patients.
methodsFrom 01/01/2000-31/12/2002, patients with curatively resected rectal cancer enrolled in a observational study were evaluated for morbidity, mortality, tumor- and local recurrence rate, paying attention to patients with conversion from laparoscopic to open resection.
results237 (3.3%) of 7,189 patients underwent laparoscopic resection (ITT). These patients showed significantly more T1/2 tumors (P<0.001) in earlier UICC stages (P<0.001) than open resected patients. 35 (14.8%) of 237 laparoscopic procedures were converted. Compared with patients receiving complete laparoscopic or open resection, these patients showed significantly higher frequencies of intraoperative (P<0.001) and general postoperative complications (P=0.003) as well as the highest overall morbidity (P=0.031). After a median follow-up of 30.1 months, the highest 5-year local recurrence rate was found in the converted group (16.0%). The laparoscopically resected patients showed a local recurrence rate of 3.3%, patients with open resection of 12.4% (P=0.082). The disease-free survival rate did not differ between the groups (P=0.585).
conclusionLaparoscopic resection of rectal cancer provides oncological results similar to open resection. After conversion, the short and oncological long-term outcomes were worse. Considering a conversion rate of 15%, only a strict indication for the laparoscopic approach can be allowed, and laparoscopic resection should be performed at centers.
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