title: [The Safety of Laparoscopic Lower Anterior Resection at Community Hospitals - A Multi Center Retrospective Cohort Study].
abstract: There is a high rate of leakage after laparoscopic lower anterior resection(Lap-LAR).We examined the safety of Lap-LAR at community hospitals.We investigated 54 patients who underwent Lap-LAR at the 10 hospitals related to the Department of Surgery at Yokohama City University between April 2013 and March 2014.T he median patient age was 67 years, and 32 patients were men.Forty -eight(88%)cases were higher than pathological Grade T3, and 37(69%)patients had undergone D3 lymph node dissection.A diverting stoma(DS)was created in 13(24%)patients.An anus drain was placed in 23 (40%)patients.The clinical anastomotic leakage rate(13%)is comparable with the rate of the DS study(12.9%).The rate of anastomotic leakage was acceptable.Lap -LAR at a community hospital could be safely performed for rectal cancer by making appropriate case choices and implementing preventive measures against anastomotic leakage.
authors.affiliation: Dept. of Gastrointestinal Surgery, Kanagawa Cancer Center.
authors.forename: Yukio
authors.initials: Y
authors.lastname: Maezawa
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Hayashi
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Numata
authors.forename: Yousuke
authors.initials: Y
authors.lastname: Atsumi
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kano
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Katayama
authors.forename: Toru
authors.initials: T
authors.lastname: Aoyama
authors.forename: Tadao
authors.initials: T
authors.lastname: Fukushima
authors.forename: Kimiatsu
authors.initials: K
authors.lastname: Hasuo
authors.forename: Ryuji
authors.initials: R
authors.lastname: Shiraishi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsukawa
authors.forename: Akio
authors.initials: A
authors.lastname: Kasahara
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tamagawa
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Rino
authors.forename: Munetaka
authors.initials: M
authors.lastname: Masuda
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006764:Hospitals, Community; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies