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International Journal of Surgical Oncology
Volume 2011, Article ID 473614, 5 pages
http://dx.doi.org/10.1155/2011/473614
Clinical Study

A Single Centre Retrospective Evaluation of Laparoscopic Rectal Resection with TME for Rectal Cancer: 5-Year Cancer-Specific Survival

1Department of Surgery, SS. Antonio e Biagio National Hospital, Alessandria, Italy
2Oncohematologic Department, A.S.O. SS. Antonio e Biagio e C. Arrigo, Via Venezia 16, 15100 Alessandria, Italy

Received 1 January 2011; Revised 10 May 2011; Accepted 7 July 2011

Academic Editor: Wolf Heitland

Copyright © 2011 Raoul Quarati et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Laparoscopic colon resection has established its role as a minimally invasive approach to colorectal diseases. Better long-term survival rate is suggested to be achievable with this approach in colon cancer patients, whereas some doubts were raised about its safety in rectal cancer. Here we report on our single centre experience of rectal laparoscopic resections for cancer focusing on short- and long-term oncological outcomes. In the last 13 years, 248 patients underwent minimally invasive approach for rectal cancer at our centre. We focused on 99 stage I, II, and III patients with a minimum follow-up period of 5 years. Of them 43 had a middle and 56 lower rectal tumor. Laparoscopic anterior rectal resection was performed in 71 patients whereas laparoscopic abdomino-perineal resection in 28. The overall mortality rate was 1%; the overall morbidity rate was 29%. The 5-year disease-free survival rate was 69.7%, The 5-year overall survival rate was 78.8%.