caa a22 4500 606206965 CHVBK 20210128101014.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10353-015-0358-0 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0358-0 Case-matched comparison of short and middle term survival after laparoscopic versus open rectal and rectosigmoid cancer surgery [Elektronische Daten] [L. Sikorszki, R. Temesi, P. Liptay-Wagner, J. Bezsilla, A. Botos, A. Vereczkei, Ö. P. Horvath] Summary: Background: Individual surgeons' experience and surgical outcome remain major contributors towards the successful treatment of rectosigmoid malignancy. Methods: Only elective and curative resections (i.e. absence of distant metastases) were selected into each group to ascertain homogeneity and match for tumour stage. In all, 100 successive open rectal and rectosigmoid resections were compared with 100 similar laparoscopic procedures between 1st February 2005 and 31st December 2009 performed. A retrospective analysis was carried out and the patients were subsequently followed up until 30th April 2012. Results: Anastomotic insufficiency was found in two patients (laparoscopic) and in five patients (open). The two groups were also compared for hospital stay and operating time (laparoscopic group spent statistically significant less time, operating time were statistically significant shorter). During the follow-up period (laparoscopic group 41.6 months, open group 39.8 months) similar survival and recurrence rates were found: loco-regional recurrence 1 and 4, distant metastases 20 and 22, respectively. There were 13 cancer deaths in laparoscopic group to 19 in open group, the average 3-year survival being 76 % and 69 %, respectively. The long-term oncological results in more advanced tumours are superior, albeit not significantly. The difference in incidence of incisional herniae (laparoscopic:open = 4:18) identified during the follow-up period was found significant. Conclusion: When comparing laparoscopic with open rectal and rectosigmoid resections there could be no inferior oncological outcome identified, hence the two techniques can be considered equivalent; in fact, due to its advantages laparoscopic rectosigmoid cancer surgery is the preferred option over open. Springer-Verlag Wien, 2015 Laparoscopic nationallicence Rectal nationallicence Cancer nationallicence Surgery nationallicence Sikorszki L. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut Temesi R. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut Liptay-Wagner P. Mid Essex Hospital Services NHS Trust, Broomfield Hospital, Chelmsford, UK aut Bezsilla J. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut Botos A. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut Vereczkei A. Surgery Clinic Pécs, Univertsity of Pécs Medical School, Pécs, Hungary aut Horvath Ö. P. Surgery Clinic Pécs, Univertsity of Pécs Medical School, Pécs, Hungary aut European Surgery Springer Vienna 47/6(2015-12-01), 303-311 1682-8631 47:6<303 2015 47 10353 https://doi.org/10.1007/s10353-015-0358-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0358-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sikorszki L. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut NATIONALLICENCE 700 1- Temesi R. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut NATIONALLICENCE 700 1- Liptay-Wagner P. Mid Essex Hospital Services NHS Trust, Broomfield Hospital, Chelmsford, UK aut NATIONALLICENCE 700 1- Bezsilla J. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut NATIONALLICENCE 700 1- Botos A. Borsod County and University Teaching Hospital Miskolc, 3521, Miskolc, Miskolci út 56, Hungary aut NATIONALLICENCE 700 1- Vereczkei A. Surgery Clinic Pécs, Univertsity of Pécs Medical School, Pécs, Hungary aut NATIONALLICENCE 700 1- Horvath Ö. P. Surgery Clinic Pécs, Univertsity of Pécs Medical School, Pécs, Hungary aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/6(2015-12-01), 303-311 1682-8631 47:6<303 2015 47 10353