Experience of laparoscopic salvage surgery for locally recurrent rectal cancer / 中华外科杂志
Chinese Journal of Surgery
; (12): 597-599, 2006.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-300639
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the feasibility of the laparoscopic salvage surgery for locally recurrent rectal cancer.</p><p><b>METHODS</b>Seven cases with recurrent rectal carcinoma treated by laparoscopic salvage surgery from February 2004 to July 2005 were retrospectively analyzed. Among them, four were males and 3 females, and the median age was 60 years (range 37-74). Three cases of recurrence were after conventional anterior resection, 2 after laparoscopic-assist anterior resection, 1 after laparoscopic-assist Parks' procedure, and 1 with pars sacral fistula after per-sacral-local resection for three times. Image examination (CT scanning) was taken preoperatively to evaluate the locally recurrence and exclude the distant metastases. The laparoscopic-assist procedure with or without a hand-assist technique was used in this study.</p><p><b>RESULTS</b>Six cases with the recurrent lesion of central type were treated by salvage surgical procedure as follows 3 laparoscopic-assist anterior resection, 1 laparoscopic-assist abdominoperineal resection, 1 laparoscopic-assist posterior exenteration, and 1 laparoscopic-assist proctocolectomy with a terminal ileum stoma. All of them were R0 resection confirmed by postoperative pathological examination. The other one with the lesion of combination type was treated with the procedure of laparoscopic-assist sigmoid colostomy. A hand-assist technique was used in 2 cases. The mean operation time, bleeding and hospital day was (211 +/- 13) min, (200 +/- 91) ml, and (15 +/- 10) d, respectively. No conversion and complication occurred.</p><p><b>CONCLUSION</b>Laparoscopic salvage surgery for locally recurrent rectal cancer is safe and feasible when taken by experienced laparoscopic colorectal surgeon to the cases with the recurrent lesion of central type.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Rectal Neoplasms
/
Reoperation
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General Surgery
/
Feasibility Studies
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Follow-Up Studies
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Treatment Outcome
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Salvage Therapy
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Laparoscopy
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Neoplasm Recurrence, Local
Type of study:
Observational study
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Prognostic study
Limits:
Adult
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Aged
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Female
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Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2006
Document type:
Article