Open Versus Laparoscopic Surgery for Rectal Cancer: Single-Center Results of 587 Cases.
OBJECTIVE
We aimed to compare the short-term and long-term results of laparoscopic and open rectal resections.


METHODS
A total of 587 rectal cancer patients were included. The main measures were demographic data, duration of surgery, early postoperative results, pathologic data, and long-term follow-up.


RESULTS
There were no significant differences in demographic data, morbidity rate, tumor location, and sphincter-preservation rates between the 2 groups. The duration of surgery (155 vs. 173 min, P<0.001), time to gas passage, defecation, and solid food intake and length of hospital stay were significantly shorter in the laparoscopic group than the open group (P<0.05). According to the univariate and multivariate analysis, laparoscopic surgery did not have an effect on local recurrence but had a favorable effect on survival rates.


CONCLUSIONS
Laparoscopic rectal surgery has advantages over open surgery with respect to short-term and long-term clinical results and when performed in high-volume centers.
Departments of *General Surgery †Pathology, Istanbul Faculty of Medicine ‡Oncology Institute, Istanbul University §Department of General Surgery, School of Medicine, Koc University, Istanbul, Turkey.
Metin
M
Keskin
Murat
M
Akici
Orhan
O
Ağcaoğlu
Gülçin
G
Yeğen
Esra
E
Sağlam
Dursun
D
Buğra
Mehmet T
MT
Bulut
Emre
E
Balik
D000328:Adult; D000359:Aftercare; D000368:Aged; D000369:Aged, 80 and over; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D010535:Laparoscopy / Q000379:methods* / Q000401:mortality; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000209:etiology; D061646:Operative Time; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome