Wu WX, Sun YM, Hua YB, Shen LZ. Laparoscopic versus conventional open resection of rectal carcinoma: A clinical comparative study. World J Gastroenterol 2004; 10(8): 1167-1170 [PMID: 15069719 DOI: 10.3748/wjg.v10.i8.1167]
Corresponding Author of This Article
Dr. Wen-Xi Wu, Department of Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanijng 210029, Jiangsu Province, China. wuwenxi@yahoo.com
Article-Type of This Article
Colorectal Cancer
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World J Gastroenterol. Apr 15, 2004; 10(8): 1167-1170 Published online Apr 15, 2004. doi: 10.3748/wjg.v10.i8.1167
Table 1 Characteristics of patients in two groups
LAP resection group (n = 18)
Open resection group (n = 18)
Difference (P value)
Age (Years)
52.4 ± 7.9
54.1 ± 6.8
NS
Male/Female
9:09
10:08
NS
ASAP score
2.4 ± 0.2
2.5 ± 0.3
NS
Operations
LAR
11
12
NS
APR
7
6
NS
Duke’s stage
A
3
3
NS
B
9
7
NS
C
6
8
NS
Table 2 Operative details for two groups
LAP resection group (n = 18)
Open resection group (n = 18)
Difference (P value)
Operative time (min)
189 ± 18
146 ± 22
< 0.05
Estimated blood loss (mL)
136 ± 21
357 ± 34
< 0.01
Passing flatus (h)
43 ± 5
78 ± 12
< 0.05
Oral intake (h)
58 ± 9
89 ± 13
< 0.05
Hospital stay (d)
7.8 ± 1.5
9.1 ± 3.3
NS
Table 3 Complications of surgery for rectal carcinoma
Complication
Number of patients
P value
LAP (n = 18)
Open (n = 18)
Intraoperative
Bleeding
0
2
NS
Rectum injury
2
1
NS
Increased PaCO2
1
0
NS
Postoperative
Wound infection
0
1
NS
Urinary retention
1
2
NS
Prolonged ileum ( > 4 d)
0
2
NS
Morbidity (%)
5.6
27.8
< 0.05
Table 4 Pathology data in laparoscopic and open resection groups
LAP resection group (n = 18)
Open resection group (n = 18)
Difference (P value)
Lymph nodes harvest
7.8 ± 1.7
8.2 ± 2.3
NS
Specimen length (cm)
LAR
19.4 ± 3.2
21.2 ± 2.9
NS
APR
27.3 ± 4.1
25.8 ± 3.0
NS
Distal resection margin (cm)
LAR
4.3 ± 1.1
4.6 ± 1.6
NS
Surgical margins
clear
clear
Citation: Wu WX, Sun YM, Hua YB, Shen LZ. Laparoscopic versus conventional open resection of rectal carcinoma: A clinical comparative study. World J Gastroenterol 2004; 10(8): 1167-1170