[Laparoscopic surgery of rectal cancer (comparative results of laparoscopic and open abdominal resection)].
Attempt to perform surgery with laparoscopic technologies was taken in 80 (50.6%) from 158 patients with cancer of the rectum. Surgery was finished only with laparoscopy in 64 (80.0%) cases, conversion to open operation was necessary in 16 (20.0%). Open anterior surgery was performed in 78 patients. Patients after laparoscopic operations required less narcotic analgesics (63.3 +/- 1.5 and 105.0 +/- 2.2 mg, respectively) and demonstrated earlier restoration of peristalsis (31.7 +/- 1.2 hours and 59.4 +/- 1.7 hours, respectively). Rate of complications after laparoscopic surgeries was 9.4%, after open--25.6%. Three-year survival after laparoscopic anterior resection was 91.7%, after open--84.6%. Survival of patients depends of depth of invasion into intestinal loop and lesion of lymphatic nodes, irrespective of surgical method.
Vorob'ëv
G I
GI
Shelygin
Iu A
IuA
Frolov
S A
SA
Loshinin
K V
KV
Syshkov
O I
OI
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011446:Prospective Studies; D012004:Rectal Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome
Laparoskopicheskie operatsii u bol'nykh rakom priamoĭ kishki (sravnitel'nye rezul'taty laparoskopicheskikh i otkrytykh perednikh rezektsiĭ).