Laparoscopic Treatment of Rectal Cancer: Our Experience in a Government Tertiary Care Hospital.

Manash Ranjan Sahoo, Anil Kumar T, POST, GRADUATE

SCB MEDICAL COLLEGE, CUTTACK, ODISHA, INDIA

OBJECTIVE: To assess safety, feasibility, advantages and outcome of laparoscopic surgery for rectal carcinoma in a government tertiary care hospital.

METHODS: From Dec 2008 to July 2012, twenty five patients diagnosed to have rectal carcinoma were selected to undergo laparoscopic curative resection. Of these, seventeen patients underwent laparoscopic low anterior resection with diverting loop ileostomy and eight patients underwent laparoscopic abdominoperineal resection. Total mesorectal excision with preservation of autonomic pelvic nerves was done in all the patients.Median age was 48years.

RESULTS: Mean operating time was 180 min for LAR and 140 min for APR. There were no intraoperative complications. Mean postoperative hospital stay was 7 days. There was no anastomotic leak and immediate post operative mortality. All specimen margins were negative. Mean duration of follow up for 16 months. Local recurrence was seen in two patients. No incidence of port site metastasis

CONCLUSION: Laparoscopic surgery for rectal cancer is a safe, feasible and effective procedure with favourable overall outcomes.


Session: Poster Presentation

Program Number: P025

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