The Survival after Laparoscopic Versus Open Curative Excision for Rectal Cancer


Laparoscopic Curative Excision
Open Curative Excision
Rectal Cancer
Survival after Rectal Cancer

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Alshammari T, Alshammari S, Alsaffar A, Hakami R, Alali M, Alhomoud S, Ashari L, Abduljabbar A, Bazarbashi M, Aljurban A, Alzahrani A, Alsuhailbani A, Almanea H, Alhussainin H, Alsanea N. The Survival after Laparoscopic Versus Open Curative Excision for Rectal Cancer: A Retrospective Cohort Study. Integr J Med Sci [Internet]. 2020Jul.9 [cited 2020Oct.21];7. Available from:


Background: Management of rectal cancer has been evolved over the past two decades with the introduction of total mesorectal excision (TME) and laparoscopic resection. Objective: This study aims to assess the difference in the long term outcomes after laparoscopic and open resection for potentially curable, non-metastatic rectal cancer patients.
Methods: This is a retrospective study which has been conducted in a single tertiary care center where the patients were recruited from the colorectal database of the Section of Colon and Rectal Surgery at King Faisal Specialist Hospital & Research Centre (KFSH&RC). It included all the patients who had non-metastatic rectal cancer and underwent laparoscopic or open curative resection regardless of their age or the comorbid status during the period from January 2012 – December 2015. We studied the long-term outcomes for those patients which included the completeness of resection of the tumor, overall 3-year survival, 3-year disease free survival, local recurrence and distal recurrence of the cancer.
Results:120 patients were included in this study, 69 of them were males and 51 were females. 86 (71.7%) of them underwent open surgery while 34 (28.3%) underwent laparoscopic surgery. After a mean follow up of 32.4 months: 104 patients were alive, 7 deceased and 9 were lost of follow up. Local recurrence in the open approach (OA), and laparoscopic approach (LA) groups was 3/86 (3.5%) and 4/34 (11.8%) respectively. Distal recurrence occurred in 12/86 (14%) of OA and 5/34 (14.7%) of LA. Overall 3-years survival for OA and LA was 89% and 97% respectively and the 3-years disease free survival was 49% and 57% respectively.
Conclusion: Laparoscopic and open rectal excision were similar in their outcome.


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