Efficacy of Pelvic Peritoneal Reconstruction following Laparoscopic Abdomino-Perineal Resection of the Rectum in the treatment of Lower Rectal Cancer: A comparative Study and review
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Background: Laparoscopic abdominoperineal resection (LAPR) for rectal cancer poses a difficult challenge for surgeons regarding pelvic peritoneal reconstruction. Therefore, in this study, we investigate the effectiveness of pelvic peritoneal reconstruction following LAPR in the treatment of rectal cancer. Methods: We retrospectively reviewed clinical data records of patients who were treated with LAPR for rectal cancer in our hospital. Patients were included if they met predetermined inclusion criteria. All included patients were divided into two groups: group A (LAPR with pelvic peritoneum reconstruction (PPR) and group B (LAPR without PPR). For each included patients, following data were record: age, sex, body mass index (BMI), ASA score (American society of anesthesiologists ), cancer staging, duration of operation, amount of blood loss, hospital stay, retrieved lymph nodes, time until start of flatus and oral intake and complications (early or late). Following endpoints were analyzed: operation time, intra-operative blood loss, and post-operative complication rate. Results: A total of 146 patients underwent LAPR including 48 patients with PPR (group A) and 98 patients without PPR (group B). LAPR procedures were successful in all included patients, with no patient requiring conversion to an open approach. The mean duration of follow-up was 12 months (range, 9 to 15 months) in both groups. There was significant difference in both groups regarding operation time, duration of hospital stay and follow up, and prevalence of late complications such as intestinal obstruction and tumour recurrence (p<0.05). No statistical difference was observed regarding demographic data, intra-operative blood loss and prevalence of early complications (p>0.05). Conclusion: LAPR technique is safe and effective procedure for patients with lower rectal cancer. Authors strongly recommend PPR following LAPR.
Authors and Affiliations
Zafar Iqbal M. D, Sami Ullah M. D, Warda Mohay Uddin M. D, Dong Tang M. D, Ph. D, Sen Wang M. D, Muhammad Asad Iqbal, Yuqin Huang, Dao-Rong Wang M. D.
Keywords
Related Articles
- EP ID EP593543
- DOI 10.9790/0853-160303130137
- Views 62
- Downloads 0
A Retrospective Study of Perforation Peritonitis In A Tertiary Care Hospital In Jamshedpur
Introduction: Perforation peritonitis is the peritoneal inflammation due to reaction of peritoneal cavity to the contents of perforated viscus, namely, gastro intestinal tract, the biliary system, pancreas or genitourina...
Unusual Presentation of Urothelial Carcinoma ina Young Patient
Urothelial carcinomas of the bladder in young patients is rare with less than 1% of such tumors presenting in the first 4 decades of life. When urothelial carcinomas occur in young adults, it presents as a low grade,non-...
Prevalence of Musculoskeletal Disorders and its Correlates among Agricultural Workers in Bhatar Block of Purba Bardhaman District, West Bengal
Background: Agriculture is one of the principal occupations in India in the rural sector. The agricultural workers are exposed constantly to various kinds of hazards making them vulnerable to different musculoskeletal di...
Vaginal Delivery in Maternal Cyanotic Congenital Heart Disease-Transposition of Great Arteries
Transposition of great arteries(TGA) is the most common cyanotic congenital heart disease(CHD). Pregnancy induces hemodynamic changes which in women with CHD, can endanger mother and child. We had two cases of TGA, one h...
Hypohidrotic ectodermal dysplasia And keratoconus : A rare association.
Ectodermal dysplasia is a hereditary disease characterized by dysplasia of tissues of ectodermal origin. Hypohidrotic ectodermal dysplasia(HED) is the most common type which presents with typical facial features. Ocular...