engleski

Laparoscopic surgery for treatment of rectal tumors

Introduction: Laparoscopic surgery has proved to be a reproducible and safe technique for the treatment of rectal cancer. It can be used following the same oncological criteria as open surgery. It obtains the same rate of survival after 5 years, local recurrences and sphincter preservation. Aim: to review the immediate clinical outcome of laparoscopic resection of tumors located below 15 cm of the anal margin. Methods: We reviewed the outcome of first 4 patients operated at Dubrava University Hospital, Department of abdominal surgery between September 2003 and September 2006. We analyzed short-term outcomes: type of procedure, operative time, postoperative mortality and morbidity, hospital stay, pathological features. Results: The patients were 3 males and 1 female with a mean age of 60.3 (45-73) ; ASA grades I-III. According to the TNM classification there was one patient operated in the first stage, 2 patients in the second stage and 1 patient in the third stage. Operation included 3 low anterior resections sec. Dixon and 1 abdominoperineal resections sec. Miles. There was no conversion to open surgery in either procedure. The overall perioperative mortality rate was nil. There were no postoperative complications. The mean operative time was 190 min while mean blood loss was 195 cc. In all specimens, negative margin were revealed histopathologically. The average number of lymph nodes retrieved was 14. Mean postoperative hospital stay was 10.2 days. Conclusion: Laparoscopy is a safe technique that equals or even surpasses open surgery in several respects and that is increasingly used by teams of experts.

rectal cancer; laparoscopic surgery

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