COMPARATIVE ANALYSIS OF OPEN AND TRANSANAL TOTAL MESORECTAL EXCISION FOR RECTAL CANCER
https://doi.org/10.33878/2073-7556-2018-0-4-67-73
Abstract
AIM: to evaluate results of transanal total mesorectal excision (TA TME) for rectal cancer. PATIENTS AND METHODS: Ninuty patients were included the prospective non-randomized study. Forty-five (50.0 %) of them underwent TA TME and 45 (50.0%) - conventional total mesorectal excision (TME). RESULTS: operation time was significantly higher in TA TME group: 276.4± 56.9 (190-400) minutes vs 188.0± 56.7 (100-310) minutes in open TME group (р=0.0001). The intraoperative complications rate was significantly higher in TA TME group: 7 (15.5 %) vs 1 (2.2 %) patient (р=0.05). No significant difference in postoperative morbidity was obtained: 18 (40.0%) in TA TME group vs 17 (37.7%) (р=1.0). Postoperative stay was lower in TATME group: 9 (7:14) vs 11 (10:14) days (р=0.04). Grade 2 specimen quality was detected significantly more often after TATME 26 (57.8 %) vs 15 (33.3 %) open TME (р=0.03), while Grade 3 specimens were more common after open procedure - 30 (66.7 %) vs 13 (28.9 %) TA TME group (р=0.0006). CONCLUSION: TA TME is a feasible procedure for rectal cancer patients. It demonstrated all benefits of minimally invasive technique, though learning curve is steep.
About the Authors
Yu. A. Shelygin
State Scientific Centre of Coloproctology
Russian Federation
Russian Federation
S. V. Chernyshov
State Scientific Centre of Coloproctology
Russian Federation
Russian Federation
L. Yu. Kazieva
State Scientific Centre of Coloproctology
Russian Federation
Russian Federation
O. A. Maynovskaya
State Scientific Centre of Coloproctology
Russian Federation
Russian Federation
V. N. Kashnikov
State Scientific Centre of Coloproctology
Russian Federation
Russian Federation
E. G. Rybakov
State Scientific Centre of Coloproctology
Russian Federation
Russian Federation
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Review
For citations:
Shelygin Yu.A., Chernyshov S.V., Kazieva L.Yu., Maynovskaya O.A., Kashnikov V.N., Rybakov E.G. COMPARATIVE ANALYSIS OF OPEN AND TRANSANAL TOTAL MESORECTAL EXCISION FOR RECTAL CANCER. Koloproktologia. 2018;(4):67-73. (In Russ.) https://doi.org/10.33878/2073-7556-2018-0-4-67-73
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