全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

Laparoscopic Abdominoperineal Resection for Low Rectal Cancer at National Cancer Hospital of Vietnam

DOI: 10.4236/oalib.1104020, PP. 1-9

Subject Areas: Oncology, Gastroenterology & Hepatology

Keywords: Laparoscopy, Abdominoperineal Resection, Rectal Cancer, National Cancer Hospital of Vietnam

Full-Text   Cite this paper   Add to My Lib

Abstract

Introduction: Results of laparoscopic colectomies from developing nations are reported rarely. We report our results of laparoscopic abdominoperineal resec-tion (LAPR) for low rectal cancer at K Hospital (National Cancer Hospital of Vietnam). Materials & Methods: From January 2012 to December 2015, a to-tal of 135 patients who were diagnosed with low rectal adenocarcinoma were recruited to evaluate for LAPR surgical outcome performed at the K Hospital in Vietnam. The goal of the study was to compare post-surgical data from K Hos-pital with Western countries. Data were collected including age, gender, history of previous abdominal surgery, operative time, estimated blood loss (EBL), conversion rate, number of harvested lymph nodes, complications, time to re-turn of bowel function (TRBF), length of stay (LOS), TNM staging and overall survival. Results: There were 69 male and 66 female patients. The mean age at diagnosis was 55.3 years (range 29 - 68 years). 19 patients had previous ab-dominal surgeries. One patient had a conversion to open LAPR due to ureteral and bladder injury. The mean and standard deviation for number of harvested lymph nodes was 14.6 ± 5.3; mean operative time 133 ± 20.9 minutes and mean EBL 13.6 ± 12.2 ml. There were two cases of urinary retention that required bladder catheterization for more than 48 hours. There was no perioperative mortality. The TRBF was 33 ± 4.4 hours. Mean LOS was 7.4 ± 1.8 days. 98 patients (72.6%) had stage II and 37 patients (27.4%) had stage III disease. The overall 1-year, 2-year and 3-year survival was 95.8%, 82.1% and 73.3%, respectively. Conclusion: LAPR for low rectal cancer in K hospital is feasible and safe.

Cite this paper

Pham, B. V. , Pham, A. T. , Kim, S. B. , Thuan, T. V. and Quang, N. T. (2017). Laparoscopic Abdominoperineal Resection for Low Rectal Cancer at National Cancer Hospital of Vietnam. Open Access Library Journal, 4, e4020. doi: http://dx.doi.org/10.4236/oalib.1104020.

References

[1]  Bittner, R. (2006) Laparoscopic Surgery: 15 Years after Clinical Introduction. World Journal of Surgery, 30, 1190-1203.
https://doi.org/10.1007/s00268-005-0644-2
[2]  Leong, S., Cahill, R., Mehigan, B. and Stephens, R. (2007) Considerations on the Learning curve for Laparoscopic Colorectal Surgery: A View from the Bottom. The International Journal of Colorectal Disease, 22, 1109-1115.
https://doi.org/10.1007/s00384-007-0302-2
[3]  Malcolm, J. and Rieger, N. (2003) Audit and the Birth of the Abdomino-Perineal Excision for Carcinoma of the Rectum. ANZ Journal of Surgery, 73, 858-861.
https://doi.org/10.1046/j.1445-2197.2003.02786.x
[4]  Abraham, N., Byrne, C., Young, J. and Solomon, M. (2007) Meta-Analysis of Non-Randomized Comparative Studies of the Short-Term Outcomes of Laparoscopic Resection for Colorectal Cancer. ANZ Journal of Surgery, 77, 508-516.
https://doi.org/10.1111/j.1445-2197.2007.04141.x
[5]  Omer, A., Constantinides, V., Tekkis, P., Athanasiou, T., Purkayastha, S., Paraskevas, P., et al. (2006) Laparoscopic versus Open Surgery for Rectal Cancer: A Metal-Analysis. Annals of Surgical Oncology, 13, 413-424.
https://doi.org/10.1245/ASO.2006.05.045
[6]  Paun, B., Cassie, S., MacLean, A., Dixon, E. and Buie, W. (2010) Postoperative Complications Following Surgery for Rectal Cancer. Annals of Surgery, 251, 807-818.
https://doi.org/10.1097/SLA.0b013e3181dae4ed
[7]  Nelson, H., Sargent, D., Wieand, S., Fleshman, J., Anvari, M., Stryker, S., Beart, R., et al. (2004) A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer. The New England Journal of Medicine, 350, 2050-2059.
https://doi.org/10.1056/NEJMoa032651
[8]  Row, D. and Weiser, M. (2010) An Update on Laparoscopic Resection for Rectal Cancer. Cancer Control, 17, 16-24.
https://doi.org/10.1177/107327481001700103
[9]  Schwenk, W., Jacobi, C., Mansmann, U., Bohm, B. and Mulle, J. (2000) Inflammatory Response after Laparoscopic and Conventional Colorectal Resection-Results of a Prospective Randomized Trial. Langenbeck's Archives of Surgery, 385, 2-9.
https://doi.org/10.1007/s004230050002
[10]  Lee, S., Sonoda, T. and Milsom, J. (2007) Expediting of Laparoscopic Rectal Dissection Using a Hand-Access Device. Diseases of the Colon & Rectum, 50, 927-929.
https://doi.org/10.1007/s10350-007-0239-0
[11]  Trieu, D., Dang, D. and Do, T. (2006) Result of Total Mesorectal Excision and Conservation of Pelvic Autonomic Nerve in Treatment of Lower Third Rectal Cancer. Journal of Viet Nam Medicine, 319, 93-99.
[12]  General Statistics Office of Vietnam.
http://www.gso.gov.vn/default_en.aspx
[13]  General Statistics Office of Vietnam.
http://www.gso.gov.vn/default_en.aspx?tabid=508&ItemID=10853
[14]  Nguyen, D. (2007) Diagnosis and Treatment of Cancer Disease. Viet Nam Medical Publishing House, 5.
[15]  Braga, M., Vignali, A., Gianotti, L., Zuliani, W., Radaelli, G., Gruarin, P., et al. (2002) Laparoscopic versus Open Colorectal Surgery: A Randomized Trial on Short-Term Outcome. Lippicott Williams et Wilkins, 236, 759-767.
https://doi.org/10.1097/00000658-200212000-00008
[16]  Slim, K. (2007) Laparoscopic Colorectal Surgery, Anything New? ANZ Journal of Surgery, 77, 519-520.
[17]  Ng, S., Leung, K., Lee, J., Yiu, R., Li, J., Teoh, A., et al. (2006) Laparoscopic-Assisted versus Open Abdominoperineal Resection for Low Rectal, Cancer: A Prospective Randomized Trial. Annals of Surgical Oncology.
[18]  Van Deurzen, D., Mannaerts, G. and Lange, J. (2006) Technique for Instant Stapling of the Sigmoid Mesentery and Mesorectum in Laparoscopic Colorectal Surgery. Surgical Endoscopy, 20, 1778-1779.
https://doi.org/10.1007/s00464-005-0630-7
[19]  Tiret, E. (1988) Total Mesorectal Excision and Preservation of Autonomous Genital Urinary Innervation in Rectal Cancer Surgery. EMC, 40-610.
[20]  Quah, H., Jayne, D., Eu, K. and Seow-Choen, F. (2002) Bladder and Sexual Dysfunction Following Laparoscopically Assisted and Conventional Open Mesorectal Resection for Cancer. BJS, 89, 1551-1556.
https://doi.org/10.1046/j.1365-2168.2002.02275.x
[21]  Perez, R., Habr-Gama, A., Arazawa, S., Rawet, V., Siqueira, S., Kiss, D., et al. (2005) Lymph Node Micrometastasis in Stage II Distal Rectal Cancer Following Neoadjuvant Chemoradiation Therapy. International Journal of Colorectal Disease, 20, 434-439.
https://doi.org/10.1007/s00384-004-0712-3
[22]  Maschuw, K., Kress, R., Ramaswamy, A., Braun, I., Langer, P. and Gerdes, B. (2006) Short-Term Preoperative Radiotherapy in Rectal Cancer Patients Leads to a Reduction of the Detectable Number of Lymph Nodes in Resection Specimens. Langenbeck’s Archives of Surgery, 391, 364-368.
https://doi.org/10.1007/s00423-006-0056-2
[23]  De La Fuente, S., Manson, R., Ludwig, K. and Mantyh, C. (2009) Neoadjuvant Chemoradiation for Rectal Cancer Reduces Lymph Node Harvest in Proctectomy Specimens. Journal of Gastrointestinal Surgery, 13, 269-274.
https://doi.org/10.1007/s11605-008-0717-2
[24]  Nguyen, B., Nguyen, T., Do, D., Tu, H. and Le, T. (2006) Laparoscopic Total Mesorectal Excision in the Treatment of Lower Third Rectal Cancer. Journal of Viet Nam Medicine, 319, 131-138.
[25]  Chung, C., Tsang, W., Kwok, S. and Li, M. (2003) Laparoscopy and Its Current Role in the Management of Colorectal Disease. Blackwell Publishing Ltd. Colorectal Disease, Vol. 5, 528-543.
https://doi.org/10.1046/j.1463-1318.2003.00545.x
[26]  Chengyu, L., Xiaoxin, J., Jian, Z., Chen, G. and Qi, Y. (2006) The Anatomical Significance and Techniques of Laparoscopic Rectal Surgery. Surgical Endoscopy, 20, 734-736.
https://doi.org/10.1007/s00464-004-2247-7
[27]  De Calan, L., Gayet, B., Bourlier, P. and Perniceni, T. (2004) Rectal Cancer: Surgical Anatomy, Preparation for Operation, and Patient Preparation. EMC, 40-606.
[28]  De Calan, L., Gayet, B., Bourlier, P. and Perniceni, T. (2004) Surgery of Rectal Cancer: Laparotomy and Laparoscopy. EMC, 40-630.
[29]  Kwok, S., Chung, C., Tsang, W., Chan, E. and Li, M. (2004) Laparoscopic Resection for Rectal Cancer in Patients with Previous Abdominal Surgery: A Comparative Study. Annals of the College of Surgeons Hong Kong, 8, 115-119.
https://doi.org/10.1111/j.1442-2034.2004.00219.x
[30]  Lam, T., Nguyen, H., Vo, L., Phung, C. and Tran, T. (2006) Early Outcomes of Laparoscopic Abdominoperineal Resection for Rectal Cancer. Journal of Ho Chi Minh City Medicine, 10, 190-195.
[31]  Tang, C., Eu, K., Tai, B., Soh, J., MacHin, D. and Seow-Choen, F. (2001) Randomized Clinical Trial of the Effect of Open versus Laparoscopically Assisted Colectomy on Systemic Immunity in Patients with Colorectal Cancer. BJS, 88, 801-807. https://doi.org/10.1046/j.1365-2168.2001.01781.x
[32]  Gao, F., Cao, Y. and Chen, L. (2006) Meta-Analysis of Short Term Outcomes after Laparoscopic Resection for Rectal Cancer. International Journal of Colorectal Disease, 21, 652-656.
https://doi.org/10.1007/s00384-005-0079-0
[33]  Law, W.L., Poon, J.T., Fan, J.K. and Lo, S.H. (2009) Comparison of Outcome of Open and Laparoscopic Resection for Stage II and Stage III Rectal Cancer. Annals of Surgical Oncology, 16, 1488-1493.
https://doi.org/10.1245/s10434-009-0418-4

Full-Text


comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413