Laparoscopic anterior resection |
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Authors: | H Y S Cheung C C Chung M K W Li |
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Institution: | (1) Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Special Administrative Region (SAR), Chai Wan, Hong Kong, China |
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Abstract: | Laparoscopic colectomy for cancer is increasingly practiced worldwide in the last 2 decades. However, due to procedural complexity,
laparoscopic rectal cancer excision had not proceeded at a similar pace. This article deals with the technique of laparoscopic
anterior resection. Resection of rectosigmoid or upper rectal tumors is first described, followed by the more difficult sphincter-saving
total mesorectal excision. We have been using and modifying this technique of laparoscopic anterior resection for rectal cancer
since 1990s. In our recent review, the local recurrence rate was 7.4%, and the overall 5-year survival was 70%. Our data suggest
laparoscopic resection for rectal cancer is safe and is the procedure of choice in selected patients. |
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Keywords: | |
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