Laparoscopic Abdominoperineal Resection for Low Rectal Cancer at National Cancer Hospital of Vietnam

摘要

Introduction: Results of laparoscopic colectomies from developing nations are reported rarely. We report our results of laparoscopic abdominoperineal resec-tion (LAPR) for low rectal cancer at K Hospital (National Cancer Hospital of Vietnam). Materials & Methods: From January 2012 to December 2015, a to-tal of 135 patients who were diagnosed with low rectal adenocarcinoma were recruited to evaluate for LAPR surgical outcome performed at the K Hospital in Vietnam. The goal of the study was to compare post-surgical data from K Hos-pital with Western countries. Data were collected including age, gender, history of previous abdominal surgery, operative time, estimated blood loss (EBL), conversion rate, number of harvested lymph nodes, complications, time to re-turn of bowel function (TRBF), length of stay (LOS), TNM staging and overall survival. Results: There were 69 male and 66 female patients. The mean age at diagnosis was 55.3 years (range 29 - 68 years). 19 patients had previous ab-dominal surgeries. One patient had a conversion to open LAPR due to ureteral and bladder injury. The mean and standard deviation for number of harvested lymph nodes was 14.6 ± 5.3; mean operative time 133 ± 20.9 minutes and mean EBL 13.6 ± 12.2 ml. There were two cases of urinary retention that required bladder catheterization for more than 48 hours. There was no perioperative mortality. The TRBF was 33 ± 4.4 hours. Mean LOS was 7.4 ± 1.8 days. 98 patients (72.6%) had stage II and 37 patients (27.4%) had stage III disease. The overall 1-year, 2-year and 3-year survival was 95.8%, 82.1% and 73.3%, respectively. Conclusion: LAPR for low rectal cancer in K hospital is feasible and safe.