Laparoscopic assisted Versus Open Abdomino-perineal Resection for Low Rectal and Anal Carcinoma: A single institutional experience

Dr Rohit Kumar Jha; Dr Amol Singhal

Volume : VII, Issue : VI, June - 2018

Laparoscopic assisted Versus Open Abdomino-perineal Resection for Low Rectal and Anal Carcinoma: A single institutional experience

Dr Rohit Kumar Jha, Dr Amol Singhal

Abstract :

Aim: To evaluate and compare the results of laparoscopic assisted and open abdominoperinealresection (Lap-APR and Open-APR) for low rectal cancer and anal canal cancer.

Methods: Between 1^st October 2012 to 30^thSeptember 2015 at Gujarat cancer & research institute, 82 patients were undergone surgery for low rectal or anal adenocarcinoma, among them 37 patients underwent laparoscopic assisted APR, and 45 patients were underwent open APR. The operative outcomes and postoperative complications of these two groups were compared.

Results: There were no significant differences between Lap-APR and open-APR in patient�s age and tumour stage. Post-operative recovery was better in Lap-APR group, with earlier return of bowel function and early mobilization. But the operative time was longer in Lap-APR. Perineal wound morbidity was same in both groups. But abdominal wound infection rate was higher in Open-APRas Lap-APR devoid of long laparotomy wound. Two year survival was nearly same in both groups. Conclusion:LapAPR have advantages over Open-APR in rapid postoperative recovery of bowelfunction, early oral intake, and early mobilization. But Lap-APR has disadvantage of longer operative time.