caa a22 4500 475778650 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004649900014 doi (NATIONALLICENCE)springer-10.1007/s004649900014 Laparoscopic-assisted abdominoperineal resection for low rectal adenocarcinoma [Elektronische Daten] [K. Leung, S. Kwok, W. Lau, W. Meng, C. Chung, P. Lai, K. Kwong] Background: Laparoscopic-assisted resection for colorectal lesions is feasible, but most reported series are heterogeneous and noncomparative. The aim of this study was to investigate whether laparoscopic-assisted resection was better than open abdominoperineal resection for low rectal adenocarcinoma. Methods: Twenty-five (study group) of 59 consecutive patients who were considered suitable were selected for laparoscopic-assisted abdominoperineal resection based on the availability of informed consent, laparoscopic instruments, and experienced surgeons. The results in these patients were compared with the other 34 patients operated on by the open method (control group). Results: The median follow-up times for the study and control groups were 30.1 and 28.3 months, respectively. The operation time was significantly longer (t-test, p<0.001), while operative blood loss (Mann-Whitney U test, p=0.02), postoperative analgesic requirement (Mann-Whitney U test, p=0.02), time to resume normal diet (Mann-Whitney U test, p=0.04), and total hospital stay (Mann-Whitney U test, p=0.02) were significantly less in the study than in the control group. The oncological clearance, complication rate, disease-free interval, and survival were comparable in the two groups. Conclusions: Laparoscopic-assisted abdominoperineal resection allowed earlier postoperative recovery, with equal oncological clearance, morbidity, mortality, disease-free interval, and survival. Springer-Verlag, 2000 Abdominoperineal resection nationallicence Adenocarcinoma nationallicence Rectal adenocarcinoma nationallicence Colorectal surgery nationallicence Rectum nationallicence Leung K. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut Kwok S. Department of Surgery, United Christian Hospital, Hong Kong aut Lau W. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut Meng W. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut Chung C. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut Lai P. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut Kwong K. Department of Surgery, United Christian Hospital, Hong Kong aut Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 67-70 0930-2794 14:1<67 2000 14 464 https://doi.org/10.1007/s004649900014 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900014 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Leung K. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut NATIONALLICENCE 700 1- Kwok S. Department of Surgery, United Christian Hospital, Hong Kong aut NATIONALLICENCE 700 1- Lau W. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut NATIONALLICENCE 700 1- Meng W. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut NATIONALLICENCE 700 1- Chung C. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut NATIONALLICENCE 700 1- Lai P. Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong aut NATIONALLICENCE 700 1- Kwong K. Department of Surgery, United Christian Hospital, Hong Kong aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 67-70 0930-2794 14:1<67 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer