title: [Outcomes following rectal and recto-sigmoid cancer resections: comparison of the laparoscopic and open techniques].
abstract: OBJECTIVE
  Surgical technique and experience are considered as significant determinants of the successful treatment of recto-sigmoid malignancies.
  
  
  METHODS
  Two hundred patients operated on between 2005 and 2009 were prospectively followed with an average of 39.8 months. Patients with rectosigmoid or rectal cancer were included, either with primary resection or resection after neoadjuvant therapy. The primary aim was to assess the average survival in the two groups; secondary outcomes were stage specific survival and the incidence of loco-regional recurrence and distant metastases. Intra- and postoperative complications, operating time, onco-pathological specimen quality and length of stay were also analysed.
  
  
  RESULTS
  During the follow-up comparable rates for 3-year survival and recurrence rates were found without statistical difference. Hospital stay in the laparoscopic group was significantly shorter and the mid-term survival rates were also better in the more advanced stages. Incisional hernia rate was significantly lower in the laparoscopic group.
  
  
  CONCLUSIONS
  The results of laparoscopic rectal and recto-sigmoid resections were not inferior, and - in some aspects - they were even better compared to open procedures. Adding the properties of the minimally invasive technique (shorter recovery, reduced surgical stress reaction) this should be the preferred method of operative approach.
authors.affiliation: Borsod-Abaúj-Zemplén Megyei és Egyetemi Oktató Kórház 3532 Miskolc Szent Imre tér 9/B.
authors.forename: Rita
authors.initials: R
authors.lastname: Temesi
authors.affiliation: Borsod-Abaúj-Zemplén Megyei és Egyetemi Oktató Kórház 3532 Miskolc Szent Imre tér 9/B.
authors.forename: László
authors.initials: L
authors.lastname: Sikorszki
authors.affiliation: Borsod-Abaúj-Zemplén Megyei és Egyetemi Oktató Kórház 3532 Miskolc Szent Imre tér 9/B.
authors.forename: János
authors.initials: J
authors.lastname: Bezsilla
authors.affiliation: Borsod-Abaúj-Zemplén Megyei és Egyetemi Oktató Kórház 3532 Miskolc Szent Imre tér 9/B.
authors.forename: Akos
authors.initials: A
authors.lastname: Botos
authors.affiliation: Borsod-Abaúj-Zemplén Megyei és Egyetemi Oktató Kórház 3532 Miskolc Szent Imre tér 9/B.
authors.forename: Attila
authors.initials: A
authors.lastname: Berencsi
authors.affiliation: Pécsi Tudományegyetem, Klinikai Központ Sebészeti Klinika Pécs.
authors.forename: András
authors.initials: A
authors.lastname: Papp
authors.affiliation: Pécsi Tudományegyetem, Klinikai Központ Sebészeti Klinika Pécs.
authors.forename: Ors Péter
authors.initials: OP
authors.lastname: Horváth
authors.affiliation: Pécsi Tudományegyetem, Klinikai Központ Sebészeti Klinika Pécs.
authors.forename: András
authors.initials: A
authors.lastname: Vereczkei
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D020360:Neoadjuvant Therapy / Q000379:methods; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome
keywords: cancer; laparoscopic; laparoscopos; nyitott; open; rectal; rectosigmoid; rectosigmoidealis; rectum; tumor