title: Long-term results of laparoscopic treatment for advanced rectal cancer.
abstract: BACKGROUND
  The management of advanced rectal cancer has changed into a multidisciplinary treatment model. Only limited randomized data are available for patients with rectal cancer treated laparoscopically.
  
  
  OBJECTIVE
  We report a multimodal treatment of advanced rectal cancer: preoperative oncological treatment, use of endoscopic stent (for malignant obstruction), minimal invasive treatment.
  
  
  METHODS
  The Authors reported a series of 45 laparoscopic rectal resections for adenocarcinoma, some of them with malignant obstruction. Long-term oncological results were reviewed.
  
  
  RESULTS
  The 30-day mortality was 2.2%. Of 45 adenocarcinoma, 4 cases were obstructed. Successful stent positioning was obtained in all patients and treated with radiochemiotherapy before laparoscopic resection. The 5-year global survival rate (including stage IV) was 62.2%; for stage II was 77.9% and 53.8% for stage III.
  
  
  CONCLUSIONS
  This study indicates that laparoscopy for advanced rectal cancer have good long-term results. In high and middle rectal malignant obstructions, we considered the use of stents to be useful.
authors.affiliation: Department of Surgery. "San Camillo" Hospital, Trento, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Pignata
authors.forename: M
authors.initials: M
authors.lastname: Barone
authors.forename: M
authors.initials: M
authors.lastname: Stefanoni
authors.forename: U
authors.initials: U
authors.lastname: Bracale
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome