Surgical outcome after laparoscopic proctectomy in rectal cancer Our experience in 300 cases

Introduction: Minimally invasive surgery is being increasingly performed to treat colorectal cancer. This study aimed to evaluate surgical outcome after laparoscopic proctectomy in rectal cancer.MethodsThis cross sectional study was conducted on 300 patients who underwent laparoscopic proctectomy with Transanal (175 cases, 58.3%) or transabdominal rectal resection (72, 24.0%) and abdominoperineal resection (53 cases, 17.7%) after preop radiochemothrapy from 2010 to 2017. Surgical complications and mortality were evaluated.ResultsThe most common complication (i.e., pre-sacral collection) was observed in 12 (14.0%) patients, and 10 (3.3%) patients had postoperative obstructions. Moreover, peritonitis and abdominal sepsis were observed in 5 (1.7%) cases, and bleeding was reported in 4 (1.3%) patients. In addition, urologic complication and rectovaginal fistula were observed in 2 (0.7%) and 2 (0.7%) patients, respectively. In total, 2 (0.7%) patients suffered from iatrogenic intestinal injury, and 29 (9.7%) cases required reoperation (14 [48.3%] and 15 [51.7%] patients underwent laparotomy and relaparoscopy, respectively). Regarding mortality rate, 2 (0.7%) cases of postoperative mortalities were detected in this study.ConclusionLaparoscopic proctectomy is safe and good procedure in patient with rectal cancer.