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Laparoscopic Sugery for Rectal Carcinoma—An Experience of 20 Cases in a Government Sector Hospital

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            to, if not better than open surgery.  Thereby postoperative   Thus it can be safely said that with weight of numerous
            genitourinary dysfunction after rectal cancer surgery, which is  recent large-scale trials behind us and our own experience,
            of paramount importance from patient’s perspective can be  laparoscopic approach is an acceptable alternative to open
            minimized.                                         surgery for colorectal cancer.
               Two most commonly identified surgeon-specific factors that
            are associated with good outcome in laparoscopic rectal surgery  REFERENCES
            have been speciality training and high case volume. Technique
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            gender with tumors in middle and third can be included. 4  3. Manson JRT, Darzi A, et al. Prospective evaluation of
               Operation time in early cases was longer because of limited  laparoscopic assisted celectomy in an unselected gp of patients.
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            CONCLUSION                                           9. Leung KL, Kwok SPY. Laparoscopic resection of rectosigmoid
                                                                    carcinoma. Prospective randomised trial. Lancet 2004;363:
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            to morbidity, local disease recurrence and survival figures,  Dis Colon Rectum 2002;45:1648-54.
            laparoscopic surgery is atleast comparable with open surgery  11. Goh YC, Eu KW, Seow-Cheen F. Early postoperative results of
            and it offers distinct advantage in early postoperative period  a prospective series of laparoscopic vs open anterior resection
            and in terms of cosmesis.                               for rectosigmoid cancers. Dis Colon Rectum 1997;40:776-80.
                Wise selection of appropriate cases should guide the novice  12. Kockerling F, Scheidbach H, et al. Laparoscopic APR early
            in advanced laparoscopic surgery. Performing 20 procedures is  postoperative results of a prospective study involving 116
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            experience, operating time can gradually be reduced with  colorectal cancer in a randomised controlled trial in UK. Crit Rev
            improved outcomes.                                      Oncol Hematol 2000;33:99-103.











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