LAPAROSCOPIC ASSISTED ABDOMINOPERINEAL RESECTION OF LOW SEATED RECTAL CANCER: EVALUATION OF THE TECHNIQUE AND FUNCTIONAL OUTCOME | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 32, Issue 2, April 2013, Page 79-85 PDF (661.96 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2013.366739 | ||||
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| Authors | ||||
| Mosaad Morshed; Saleh EL-Awady; Mohamed Farid; Maged Bassuni; Hesham El-Gendy; Emad Abdallah* | ||||
| General Surgery Department, Mansoura University, Egypt | ||||
| Abstract | ||||
| Aim: To assess feasibility, advantages and short term outcome of laparoscopic abdominoperineal resection (LAPR) for low seated rectal cancer. Methods: From June 2008 to December 2011, 20 patients with operable low seated adenocarcinoma of the rectum were subjected to LAPR. Surgical technique, postoperative morbidity, clinical results and urogenital functions were reviewed in close follow-up for a period of 12 months. Results: Sixty percent were males and 40 % females with mean age 52.5 years. Mean tumor size was 5.2 cm and the most common presentation was bleeding per rectum (80%). Mean operative time was 184.5 min, 55% were stage III and 45% moderately differentiated adenocarcinoma. There was 20% incidence of complications with perineal wound infection the commonest (15%). Both male and female patients’ sexual functions get markedly deteriorated postoperative and to a lesser extend urologic function. Recurrence rate (5%), port site and distant metastasis (0%) were recorded. Conclusions: LAPR is safe, feasible, meets oncologic requirements of radicality with accepted survival and recurrence patterns compared to open APR but at the expense of longer operative time. Also, LAPR is associated with worse sexual function affection in both males and females and lesser urinary function affection. | ||||
| Keywords | ||||
| Rectal cancer; Laparoscopic resection; Abdominoperineal resection | ||||
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