Feasibility of laparoscopic abdomino-perineal resection for large-sized anorectal cancers: a single-institution experience of 59 cases.

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dc.contributor.authorShukla, Parul Jen_US
dc.contributor.authorBarreto, Savio Gen_US
dc.contributor.authorHawaldar, Rohinien_US
dc.contributor.authorNadkarni, Mandaren_US
dc.contributor.authorKanitkar, Gajanan Aen_US
dc.contributor.authorKerkar, Rajendraen_US
dc.contributor.authorShrikhande, Shailesh Ven_US
dc.date.accessioned2009-03-11en_US
dc.date.accessioned2009-05-29T06:19:30Z
dc.date.available2009-03-11en_US
dc.date.available2009-05-29T06:19:30Z
dc.date.issued2009-03-11en_US
dc.description.abstractBACKGROUND: Laparoscopic surgery for anorectal carcinoma is steadily gaining acceptance. While feasibility has already been reported, there are no reports addressing the impact of the actual size of large tumors on laparoscopic resectability. AIM: To assess the feasibility and short-term results (including oncological surrogate end points) of performing laparoscopic abdomino-perineal resection (APR) for large rectal cancers. MATERIALS AND METHODS: Data of 59 patients undergoing laparoscopic APR (LAPR) for anorectal malignancies were reviewed retrospectively. Outcomes were evaluated considering the surgical procedure, surface area of the tumor and short-term outcomes. RESULTS: Of the 59 cases, LAPR could be completed in 53 (89.8%) patients. Thirty-one (58.4%) patients had Astler-Coller C2 stage disease. The mean surface area of the tumors was 24+/-17.5 (4-83) cm2. The number of median lymph nodes harvested per case was 12 (1-48). Circumferential resection margin (CRM) was positive in 11 (20.7%) patients. No mortality was reported. CONCLUSION: This appears to be the first report analyzing the impact of the size of the rectal tumor in LAPR. The data clearly indicates that LAPR is not hampered by the size of the tumor. There appears to be a need for preoperative radiotherapy and chemotherapy before undertaking surgery on larger tumors in view of the higher circumferential resection margin positivity.en_US
dc.description.affiliationDepartment of Gastrointestinal Surgical Oncology, Tata Memorial Hospital, Mumbai, India. pjshukla@doctors.org.uken_US
dc.identifier.citationShukla PJ, Barreto SG, Hawaldar R, Nadkarni M, Kanitkar GA, Kerkar R, Shrikhande SV. Feasibility of laparoscopic abdomino-perineal resection for large-sized anorectal cancers: a single-institution experience of 59 cases. Indian Journal of Medical Sciences. 2009 Mar; 63(3): 109-14en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/68678
dc.language.isoengen_US
dc.source.urihttps://www.indianjmedsci.orgen_US
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshAnus Neoplasms --surgery
dc.subject.meshFeasibility Studies
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshLaparoscopy --methods
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshRectal Neoplasms --surgery
dc.titleFeasibility of laparoscopic abdomino-perineal resection for large-sized anorectal cancers: a single-institution experience of 59 cases.en_US
dc.typeJournal Articleen_US
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