RT info:eu-repo/semantics/article
T1 A comparative clinical study of short-term results of laparoscopic surgery for rectal cancer during the learning curve
A1 Arteaga González, Iván Jesús
A1 Díaz Luis, Hermógenes
A1 Martín Malagón, Antonio Isaac
A1 López-Tomassetti Fernández, Eudaldo M.
A1 Arranz Duran, Javier
A1 Carrillo Pallarés, Ángel
A2 Cirugía
K1 Laparoscopic rectal surgery
K1 Learning curve
K1 Rectal cancer
AB Objectives: The aim ofthis study was to assess the results oflaparoscopic surgery for rectal carci-noma (LSRC) during the learningcurve throughout the introduction ofthis technique at our medical center.Materials and methods: FromJanuary 2003 to April 2004, 40 pa-tients undergoing surgery were as-signed to laparoscopic surgery group(LSG) (n=20) or conventional surgerygroup (CSG) (n=20). Data were pro-spectively collected to statisticallyanalyze clinical, anatomopathological,and economic variables. Results:Groups were comparable in age, sex,body mass index, American Society ofAnesthesiologists score, surgicaltechnique performed, tumor size anddistance, Dukes’ stage, and proportionof patients with previous abdominalsurgery and radiotherapy. There wasno difference in operative time. LSGblood loss was lower (p<.0001). LSGperistalsis and oral intake beganearlier (p<.0001). LSG hospital staywas shorter (p<.0001). Intraoperativecomplications (10% LSG vs 15%CSG) and overall morbidity (35%LSG vs 45% CSG) were no different.LSG did not record any anastomoticleakages. Two patients (10%) wereconverted to open surgery. Regardingoncologic adequacy of resection,specimen length and number of nodesharvested were no different. LSGdistal and radial resection marginswere greater (p<.0001; p=.03). LSGoperative costs were greater(p<.0001). However, CSG hospital-ization costs were higher (p<.001).There was no overall difference(p=0.1). Conclusions: LSRC hasbeen a reliable and efficient techniqueduring the learning curve atour hospital.
YR 2005
FD 2005
LK http://riull.ull.es/xmlui/handle/915/40986
UL http://riull.ull.es/xmlui/handle/915/40986
LA en
DS Repositorio institucional de la Universidad de La Laguna
RD 24-abr-2025