Cancer Surgery
Conditions
Interventions
Laparoscopic Low Anterior Resection
Open Low Anterior Resection
Sponsors
Al Azhar University hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All patients with rectal cancer who were candidates for low anterior resection tumors located in the upper rectum (ten to fifteen centimeters from the anorectal ring), middle rectum (five to ten centimeters from the anorectal ring), and low rectum (0–5 centimeters from the anorectal ring), provided that low rectal tumors had a distal margin of more than one centimeter, with an additional one centimeter of rectum preserved to allow for a stapled anastomosis.
Exclusion criteria
Exclusion criteria: patients with metastatic tumors those presenting with complications like bleeding, obstruction, or perforation. cases with locally advanced tumors cancer invasion into adjacent organs, pregnancy coagulopathy, Patients who weren’t candidates for low anterior resection (LAR), whether open or laparoscopic, but could instead undergo abdominoperineal resection (APR) tumor fixation to bones on digital rectal examination, inadequate distal margin even with intersphincteric dissection, involvement of the external sphincter by the tumor, preoperative fecal incontinence, poor preoperative (or predicted preoperative) sphincter function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| analyzing the length of resection safety margins, including both the distal margin and the circumferential resection margin; the number of harvested lymph nodes; the mesorectal excision quality or mesorectal grade; and the patterns and rate of local or distant tumor recurrence throughout the monitoring interval. | — |
Secondary
| Measure | Time frame |
|---|---|
| operative time, gastrointestinal (GIT) recovery, postoperative pain and the corresponding analgesic needs, period of hospitalization, operative morbidity, specific complications, such as postoperative sexual dysfunction; and conversion rate | — |
Countries
Egypt
Contacts
Public ContactAhmad Hasan
Professor of general surgery Faculty of Medicine Al Azhar university Assiut
Outcome results
None listed