[Treatment of rectal cancer by laparoscopie]

[Treatment of rectal cancer by laparoscopie] Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

[Treatment of rectal cancer by laparoscopie] Abstract Text:

Serge Evrard,Serge Evrard,

Initiated later than for colon cancer, the evaluation of the use of laparoscopy in rectal cancer is still ongoing. Data on its feasibility and clinical tolerance are available. Evaluation has been based on better vision of total mesorectal excision down to the pelvic floor with laparoscopy. Laparoscopy may be recommended as standard practice except in the case of T4 tumours, recurrences and after certain former colorectal procedures. The conversion rate decreases with the acquisition of experience and should reach a figure below 15 %. The main causes are haemorrhages or high tumoral volume. Operating time is longer but this difference also decreases with experience. Blood loss is no different for the two techniques for identical tumoural stages. Mortality (< 3,5%) and morbidity (22 to 48 %) are also equivalent. The surgical quality of laparoscopic TEM has been contested by the Clasicc Trial data which showed a slight and non significant trend towards greater spreading of the circumferential margin for laparoscopy taking into account the fact that most of the surgeons were at the beginning of their learning curves. There was no differences in the number of lymphatic nodes retrieved. It seems that short term functional results are better with laparoscopy (bowel movements, duration of hospitalisation). Although better dissection of the hypogastric nerves was expected, worse sexual outcomes were reported thus highlighting the risk of supraradical resection. In the next few years, data from the Color II study should definitively confirm the equivalence or otherwise of laparoscopy to laparotomy in the treatment of rectal cancer.

[Treatment of rectal cancer by laparoscopie] Publishing Authors By Initials

S Evrard,S Evrard,

For similar neoplasms: neoplasms by site: digestive system neoplasms: gastrointestinal neoplasms: intestinal neoplasms: colorectal neoplasms: rectal neoplasms research abstracts see: neoplasms: neoplasms by site: digestive system neoplasms: gastrointestinal neoplasms: intestinal neoplasms: colorectal neoplasms: rectal neoplasms research

PUBMED ID PMID:

MEDLINE DATE:

[Treatment of rectal cancer by laparoscopie] Journal Published:

PUBLICATION TYPE: Review

Journal: Bulletin du cancer

VOLUME: 94

Page Numbers: 1059-62

Journal Abbreviation:

ISSN: 1769-6917

DAY: 1

MONTH: Dec

YEAR: 2007

[Treatment of rectal cancer by laparoscopie] Information

Number of References: 16

LANGUAGE: fre

NlmUniqueID: 72416

[Treatment of rectal cancer by laparoscopie] Keywords Mesh Terms:

KEYWORDS: Rectal Neoplasms

MESH TERMS: surgery

Chemical & Substance for Abstract: [Treatment of rectal cancer by laparoscopie] Information

Substance Name:

Registry Number:

Grant and Affiliation Information for [Treatment of rectal cancer by laparoscopie]

AFFILIATION: Groupe digestif, Institut Bergonié, Université Bordeaux 2, 33000 Bordeaux, France. evrard@bergonie.org

Country: France

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Bull Cancer

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Treatment of rectal cancer by laparoscopie Related Publications

• A classification scheme for malformations of cortical development.
• Central grafting for tibial nonunion.
• Comparison of hepatic recurrences after resection or intraoperative radiofrequency ablation indicated by size and topographical characteristics of the metastases.
• Formation, maturation, and disorders of brain neocortex.
• Formation, maturation, and disorders of white matter.
• Genetic and environmental determinants of neocortical development.
• IDENTIFICATION OF P-HYDROXYPHENOXYMETHYL PENICILLIN AS A METABOLITE OF PHENOXYMETHYL PENICILLIN.
• Microlissencephaly: a heterogeneous malformation of cortical development.
• Monoolein-water liquid crystalline gels of gentamicin as bioresorbable implants for the local treatment of chronic osteomyelitis: in vitro characterization.
• Normal and abnormal development of the central nervous system I.
• Real or virtual large-scale structure?
• Risk of antigen excess in serum free light chain measurements.
• Whipple disease confined to the central nervous system in childhood.
• [Care of Mister B...]
• [Electromyography and rheumatology (author's transl)]
• [Medical problems related to explosive decompression in aircraft cabins.]
• [Not Available.]
• [Not Available.]
• [On the mode of action of mob bath from Spa (author's transl)]
• [Post-traumatic fat embolism]
• [Septic complications occurring in patients hospitalized in 1966 at the Clinique Chirurgicale Orthopedique et Réparatrice de l'Hôpital Cochin. Statistical aspects]
• [Sleep in children]
• [Surgical oncology by minimal access.]
• [Tethered cord syndrome, conservative or surgical approach?]
• [Treatment of rectal cancer by laparoscopie]
• [Use of orphenadrine in neurology & psychiatry.]