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Laparoscopic versus open total mesorectal excision for rectal cancer: An evaluation of the mesorectum’s macroscopic quality

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Abstract

Background

Next to surgical margins, yield of lymph nodes, and length of bowel resected, macroscopic completeness of mesorectal excision may serve as another quality control of total mesorectal excision (TME). In this study, the macroscopic completeness of laparoscopic TME was evaluated.

Methods

A series of 25 patients with rectal cancer were managed laparoscopically (LTME) and included in this study. The pathologic specimens of the LTME group were prospectively examined and matched with a historical group of resection specimens from patients who had undergone open TME (OTME). The two groups were matched for gender and type of resection (low anterior or abdominoperineal resection). Special care was given to the macroscopic judgment concerning the completeness of the mesorectum.

Results

A three-grade scoring system showed no differences between the LTME and OTME groups.

Conclusion

The current study supports the hypothesis that oncologic resection using laparoscopic TME is feasible and adequate.

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Authors and Affiliations

  1. Department of Surgery, Groningen University Hospital, Postbus 30001, 9700 RB, Groningen, The Netherlands

    S. O. Breukink & T. Wiggers

  2. Department of Pathology, Laboratory of Public Health, Jelsumerstraat 6, 8917 EN, Leeuwarden, The Netherlands

    A. J. K. Grond

  3. Department of Surgery, Medical Centre Leeuwarden, H. Dunantweg 2, Leeuwarden, 8934 AD, The Netherlands

    J. P. E. N. Pierie, C. Hoff & W. J. H. J. Meijerink

Authors
  1. S. O. Breukink
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  2. A. J. K. Grond
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  3. J. P. E. N. Pierie
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  4. C. Hoff
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  5. T. Wiggers
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  6. W. J. H. J. Meijerink
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Corresponding author

Correspondence to S. O. Breukink.

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Breukink, S.O., Grond, A.J.K., Pierie, J.P.E.N. et al. Laparoscopic versus open total mesorectal excision for rectal cancer: An evaluation of the mesorectum’s macroscopic quality. Surg Endosc 19, 307–310 (2005). https://doi.org/10.1007/s00464-004-9066-8

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  • DOI: https://doi.org/10.1007/s00464-004-9066-8

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