Comparison of hand‑assisted laparoscopic surgery and conventional laparotomy for rectal cancer: Interim results from a single center

Tajima,Takayuki; Mukai,Masaya; Noguchi,Wataru; Higami,Shigeo; Uda,Shuuji; Yamamoto,Souichirou; Hasegawa,Sayuri; Nomura,Eiji; Sadahiro,Sotaro; Yasuda,Seiei; Makuuchi,Hiroyasu

doi:10.3892/mco.2015.508

Comparison of hand‑assisted laparoscopic surgery and conventional laparotomy for rectal cancer: Interim results from a single center

Authors:
- Takayuki Tajima
- Masaya Mukai
- Wataru Noguchi
- Shigeo Higami
- Shuuji Uda
- Souichirou Yamamoto
- Sayuri Hasegawa
- Eiji Nomura
- Sotaro Sadahiro
- Seiei Yasuda
- Hiroyasu Makuuchi
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Affiliations: Department of Surgery, Tokai University School of Medicine, Isehara, Kanagawa 259‑1193, Japan, Department of Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo 192‑0032, Japan
Published online on: February 9, 2015 https://doi.org/10.3892/mco.2015.508
Pages: 533-538

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Abstract

Minimally invasive laparoscopic surgery has become widespread and the indications for such surgery have recently been extended to various conditions, including rectal cancer. the objective of this study was to compare the clinical outcome of hand‑assisted laparoscopic surgery (HALS) and conventional laparotomy (CL) in patients with rectal cancer. Patients who underwent radical resection of stage I‑III primary rectal cancer (n=111) were classified into those receiving HALS (n=57) and those receiving CL (n=54); the two groups were matched for stage and postoperative treatment. The 3‑year relapse‑free survival (3Y‑RFS) and 3‑year overall survival (3Y‑OS) were calculated and compared between the two groups. intraoperative blood loss, operating time, postoperative hospital stay and complications were also compared between the two groups. There were no significant differences in 3Y‑RFS or 3Y‑OS between the HALS and CL groups for patients with all‑stage (I, II and III) rectal cancer. The mean (median) intraoperative blood loss was 344.0 (247.0) ml in the HALS group vs. 807.5 (555.5) ml in the CL group (P<0.001). The mean (median) postoperative hospital stay was 19.8 (17) and 25.5 (18.3) days, respectively (P=0.039). There were no significant differences in the operating time or the incidence of complications between the two groups. Based on these results, HALS was found to be comparable to CL regarding survival, while achieving less blood loss and a superior cosmetic outcome. However, longer follow‑up is required to confirm these findings.

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