Standardized Laparoscopic Sphincter-preserving Total Mesorectal Excision For Rectal Cancer: Median of 10 Years' Long-term Oncologic Outcome in 217 Unselected Consecutive Patients

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dc.authoriducuncu, Muhammed zubeyr/0000-0003-4638-1059
dc.contributor.authorBademler, Suleyman
dc.contributor.authorKoza, Kadir B.
dc.contributor.authorUcuncu, Muhammed Z.
dc.contributor.authorTokmak, Handan
dc.contributor.authorBakir, Baris
dc.contributor.authorOral, Ethem N.
dc.contributor.authorAsoglu, Oktar
dc.date.accessioned2024-09-11T19:51:43Z
dc.date.available2024-09-11T19:51:43Z
dc.date.issued2019
dc.departmentİstanbul Gelişim Üniversitesien_US
dc.description.abstractThis study was designed to evaluate the impact of a standardized laparoscopic total mesorectal excision (TME) on the long-term oncologic outcome. Unselected consecutive patients with rectal cancer underwent a standardized laparoscopic TME with medial to lateral approach encompassing 9 sequential steps. From 2005 to June 2012, laparoscopic sphincter-preserving TME was attempted in 217 patients. Mean follow-up of all patients was a median of 91 months (range, 3 to 164 mo). The local recurrence rate was 6.5%, and the distant recurrence rate was 19.8%. The 10-year disease-free survival (DFS) rates were 76.4% and overall survival (OS) was 67.1%. In the converted group, DFS and OS were 50% and 46.7%, respectively. In the laparoscopic group, DFS and OS were 78.3% and 68.5%, respectively. A standardized laparoscopic sphincter-preserving TME resulted in a favorable long-term oncologic outcome in unselected patients with rectal cancer. Conversion to open surgery has impaired OS and DFS.en_US
dc.identifier.doi10.1097/SLE.0000000000000664
dc.identifier.endpage361en_US
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue5en_US
dc.identifier.pmid31107850en_US
dc.identifier.scopus2-s2.0-85069201996en_US
dc.identifier.startpage354en_US
dc.identifier.urihttps://doi.org/10.1097/SLE.0000000000000664
dc.identifier.urihttps://hdl.handle.net/11363/7841
dc.identifier.volume29en_US
dc.identifier.wosWOS:000490743400014en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240903_Gen_US
dc.subjectrectal canceren_US
dc.subjectlaparoscopic sphincter-preserving surgeryen_US
dc.subjecttotal mesorectal excisionen_US
dc.titleStandardized Laparoscopic Sphincter-preserving Total Mesorectal Excision For Rectal Cancer: Median of 10 Years' Long-term Oncologic Outcome in 217 Unselected Consecutive Patientsen_US
dc.typeArticleen_US

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