caa a22 4500 467944091 CHVBK 20180405193735.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/BF02637126 doi (NATIONALLICENCE)springer-10.1007/BF02637126 (NATIONALLICENCE)springer-10.1007/s00464-003-9249-8 Early outcomes of 100 patients with laparoscopic resection for rectal neoplasm [Elektronische Daten] [W. Law, K. Chu, H. Tung] Background: Laparoscopic resection has been shown to be a feasible option in patients with colorectal diseases. However, there have been only a few studies on laparoscopic resection for rectal neoplasm. This report aimed to evaluate the early outcomes of patients treated by laparoscopic rectal resection for neoplasm. Methods: From May 2000 to April 2003, 100 patients underwent laparoscopic resection for rectal neoplasm with mesorectal excision. Data on the patients' demographics, operative details, and outcomes were collected prospectively. In those with successful laparoscopic resection, comparison was made between patients with predominantly intracorporeal surgery (ICS) and those with anterior resection performed with extracorporeal rectal transection and anastomosis following intracor-poreal bowel mobilization and vessel ligation (IECS). Results: Sixty-six men and 34 women (median age, 69 years; range, 40-85) were included. Operations included 91 anterior resections, eight abdominoperineal resections, and one Hartmann's procedure. Conversion was required in 15 patients and no conversion was needed in patients treated by laparoscopic abdomino-perineal resection. One patient died 30 days after surgery because of liver failure. Postoperative complications occurred in 31 patients. Among them, three had anastomotic leakage and all of them could be treated conservatively. Reoperation was required in one patient with intestinal obstruction. Patients with conversion were found to have significantly more blood loss, longer time to resume diet, a longer hospital stay, and a higher morbidity rate when compared to those with successful laparoscopic surgery. Among those with successful laparoscopic procedures, no difference was observed between patients with ICS (n=57) and those with IECS (n=28), except that a shorter incision and less blood loss were found in patients in the former group. Conclusions: Laparoscopic rectal resection with mesorectal dissection is feasible. The operating mortality and reoperation rates were low. Conversion was associated with an increased morbidity rate, leading to a longer hospital stay. Laparoscopically assisted anterior resection with rectal transection by a transverse stapler through the abdominal incision produced similar results when compared to a procedure that was predominantly intracorporeally performed Springer Science+Business Media, Inc, 2004 Laparoscopy nationallicence Rectal resection nationallicence Mesorectal excision nationallicence Law W. Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong aut Chu K. Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong aut Tung H. Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1592-1596 0930-2794 18:11<1592 2004 18 464 https://doi.org/10.1007/BF02637126 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637126 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1592-1596 0930-2794 18:11<1592 2004 18 464 NATIONALLICENCE 700 1- Law W. Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong aut NATIONALLICENCE 700 1- Chu K. Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong aut NATIONALLICENCE 700 1- Tung H. Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong aut NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-003-9249-8 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1592-1596 0930-2794 18:11<1592 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer