Functional outcomes following laparoscopic and open rectal resection for cancer

International Journal of Surgery
Emma Rose McGloneAmjad Parvaiz

Abstract

A best evidence topic was written according to a structured protocol. The question addressed whether laparoscopic approach confers a difference in functional outcome compared to conventional open resectional surgery for rectal cancer. 246 papers were found using the reported search, of which five represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group, study type, relevant outcomes and key results of these papers are tabulated. Of these five studies, none showed any difference in post-operative urinary function between patients undergoing laparoscopic or open surgery. The two randomised studies reported either a trend or a significant difference in favour of open surgery for sexual outcome in men. Three more recent, case-control studies showed differences in favour of laparoscopic surgery for sexual function in men. We conclude that there is no evidence to suggest that laparoscopic approach makes any difference to post-operative urinary function. The data relating to sexual function in men is contradictory, and as none of the studies available have generated high level evidence and further trials are required to clarify whether laparoscopic approach con...Continue Reading

References

Nov 26, 2002·The British Journal of Surgery·I Lindsey, N J McC Mortensen
Feb 2, 2006·Annals of Surgical Oncology·Omer AzizAlexander G Heriot
Jan 16, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·L YangX Jiang
May 26, 2009·Surgical Endoscopy·Paraskevas StamopoulosEmmanouil Leandros
Aug 19, 2011·International Journal of Surgery·Omar A KhanKevin Mackway-Jones

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Citations

May 15, 2013·International Journal of Colorectal Disease·Norbert Runkel, Harald Reiser
Sep 5, 2013·Annals of Surgical Oncology·Matthew Crapko, James Fleshman
Feb 4, 2014·Best Practice & Research. Clinical Gastroenterology·P J TanisW A Bemelman
Mar 31, 2015·International Journal of Surgery·Nigel Tapiwa MabvuureJeremy Neil Rodrigues

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