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ISSN 1684-1824 (Electronic)

2020, Number 4

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Rev Méd Electrón 2020; 42 (4)

Tumor height in rectal cancer: oncological and post surgery results in laparoscopic surgery

Monet FYE, Cora AJ, Lozano GY, Monet DMA, Ruesca DCM, Hernández SC

Language: Spanish
References: 20
Page:
PDF size: 110.93 Kb.


ABSTRACT

There is little evidence of the impact of the extra peritoneal rectal tumors height in the oncological and post surgery results. Nevertheless, it has been reported that inferior rectal tumors would have a worse oncological prognosis and a bigger rate of complications. But it is unknown if laparoscopy could reduce those difficulties in low tumors. The aim of this work was reviewing up-dated bibliographic articles dealing with tumors of the extra peritoneal rectum and the results obtained using a laparoscopic approach. 22 articles on tumors of extra peritoneal rectum that underwent laparoscopic surgery were included. Demographic variables and oncological, histopathologic surgical results were compared between the reviewed articles. Differences in demographic variables were not found in the review. The incidence of early complications was low and late complications were more anatomopathologic ones (total mesorectal resection, circumferential resection margin). Variables and pathological stages did not show differences. With an average follow up of 41.8 months (range 6-120), the recurrence rates and survival were similar. The height of extra peritoneal rectum tumors would not affect surgical nor oncologic results in the total laparoscopic mesorectal resection.


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