• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
      • SAGES Robotics Residents and Fellows Courses
      • MIS Fellows Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / TOTAL LAPAROSCOPIC APPROACH FOR RECTAL CANCER RESECTION -A SINGLE CENTER EXPERIENCE.

TOTAL LAPAROSCOPIC APPROACH FOR RECTAL CANCER RESECTION -A SINGLE CENTER EXPERIENCE.

Dr. Ranbir Singh, MS, FMUHS, MIS1, Shailesh Puntambekar2. 1Galaxy Care Laparoscopic Institute, Pune, India, 2Galaxy care Laparoscopic Institute

Introduction: The role of minimal invasive surgery is well established. As regards rectal cancers particularly low lying rectal cancer studies are still going on for safety, feasibility and duplicability. A large prospective single institutional study aims to assess the effectiveness of our technique of Laparoscopic resection of rectal cancer in terms of oncological safety, complications and long term prognosis.

Method: Between July 2006 to June 2016, 582 patients underwent laparoscopic LAR for rectal adenocarcinoma at our Minimal Invasive Oncology Centre. Routine preoperative work up was done. Patients were evaluated for complications and were graded and managed as per Clavien-Dindo classification. Survival probability analysis rate using Kaplan Meier method.

Results: Total number of Patient included in the study was 582(375 men and 207 women) average age of 65 years.  Tumour located in upper, middle and lower rectum were 132, 258 and 192 patients respectively. A total of 33 patients received chemoradiation preoperatively and 450 patients received chemotherapy/Radiation and chemoradiation postoperatively. Laparoscopic TME was done in 381 patients. 6 out of 381patients underwent low anterior resection with hand sewn coloanal anastomosis (CAA).

Average operating time was 124 minutes with an average of 70 ml blood loss and an average of 5 days as hospital stay. Average number of Lymph nodes removed were 25.4

The overall complication rate was 20.8% i.e. 121out of 582 patients had complications graded under Clavien-Dindo classification. No conversion to conventional surgery was required. The most common postoperative complication was the anastomotic leak. (Grade II, IIIB and IV acc. to Clavien- Dindo classification) we had 71 leaks (13.4%).After a mean follow up of 46 months (1-128 months),tumor recurrence occurred in 39 patients of 582. Overall recurrence rate was 6.7%.Overall Cancer related survival rate was 99.3%, 96.7%, and 90.7%, 90.7% and 87.7% at1st, and 2nd, 3rd, 4th and 5th year respectively. Five year survival rate was 100% for stage I, 94.4% for stage II, 66.6% for stage III, and 44.6% for stage IV.

Conclusion: Laparoscopic TME technique is feasible and safe. With development of improved technique, devices and expertise, laparoscopic resection for rectal cancer should be a standard method. Our results clearly demonstrate that laparoscopic rectal resection is not associated with higher morbidity or mortality. Furthermore oncological and surgical principles were respected and long term outcomes compared to the previous literature and open surgery were comparable. 

Single largest Series of Laparoscopic management of Rectal cancer from India.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87368

Program Number: P265

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

71

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon

Related



Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals