Comparison of the incidence rates of anastomotic leak following lower anterior resection of rectal cancer between laparoscopic and open operation.
- Author:
Pan CHI
1
;
Hui-Ming LIN
;
Zhong-Bin XU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Anal Canal; surgery; Anastomosis, Surgical; adverse effects; Female; Fistula; etiology; Humans; Incidence; Laparoscopy; adverse effects; Laparotomy; adverse effects; Male; Middle Aged; Postoperative Complications; Rectal Neoplasms; surgery; Surgical Stomas; pathology
- From: Chinese Journal of Gastrointestinal Surgery 2007;10(1):57-59
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate and compare the incidence rates of postoperative anastomotic leak following laparoscopic (LP) versus open (OP) lower anterior resection for rectal cancer.
METHODSFifty-three cases of LP and 135 cases of OP lower anterior resection with rectal cancer site 5-8 cm away from anal edge were operated by the same surgeon team from Sep. 2000 to Dec. 2005. The differences of postoperative anastomotic leak of protective stomy and non-protective stomy between LP and OP groups were analysed.
RESULTSIn LP group, the incidence rates of the postoperative anastomotic leak of protective stomy and non-protective stomy were 4.6% (1/22) and 6.5% (2/31) respectively (P>0.05, chi(2)=0.088). In OP group, the incidence rates were 2.3% (1/43) and 8.7% (8/92) respectively (P>0.05, chi(2)=1.024). No significant difference existed between LP and OP groups with protective stomy (P=0.455), neither did LP and OP groups without protective stomy (P=0.288).
CONCLUSIONLaparoscopic low anterior resection of rectal cancer is a safe procedure. It doesn't increase the incidence rate of anastomotic leak as compared to traditional open surgery.
