Early outcome after minilaparotomy for the treatment of rectal cancer.

Abstract

OBJECTIVE:

To compare early outcomes of the minilaparotomy approach to the resection of rectal cancer with those of conventional laparotomy.

DESIGN:

Retrospective study.

SETTING:

University hospital, Japan.

SUBJECTS:

18 patients who had complete resection through a minilaparotomy and 20 who had a conventional laparotomy served as the study and the control groups, respectively. Patients who were overweight or morbidly obese (body mass index >25) were excluded from the study.

INTERVENTIONS:

Complete resection through a skin incision less than 7 cm in length, or a conventional incision.

MAIN OUTCOME MEASURES:

Early postoperative outcomes.

RESULTS:

Postoperative time intervals to standing, walking, passing flatus, and removal of the urinary catheter, and analgesic requirements were significantly less in the minilaparotomy group (p = 0.007, p = 0.004, p = 0.02, p = 0.002, and p = 0.05, respectively).

CONCLUSIONS:

The minilaparotomy for complete resection of rectal cancer is less invasive than conventional laparotomy, and provides an attractive alternative in highly selected patients who are not overweight.

• Authors: T Nakagoe, T Sawai, T Tsuji, M Jibiki, A Nanashima, H Yamaguchi, T Yasutake, H Ayabe
• Journal: The European journal of surgery = Acta chirurgica (Eur J Surg) Vol. 167 Issue 9 Pg. 705-10 (Sep 2001) ISSN: 1102-4151 [Print] England
• PMID: 11759743 (Publication Type: Comparative Study, Journal Article)

Topics

• Aged
• Case-Control Studies
• Female
• Humans
• Laparotomy (methods)
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures
• Rectal Neoplasms (surgery)
• Retrospective Studies
• Statistics, Nonparametric
• Treatment Outcome