Linked Life Data

15865030

Source:http://linkedlifedata.com/resource/pubmed/id/15865030

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2005-5-3
pubmed:abstractText
Since laparoscopic surgery in rectal cancer was introduced ten years ago large patient collectives have been published by several authors in the meantime. The literature was carefully reviewed to analyse data on postoperative complications, long term prognosis and quality of life after laparoscopic surgery for rectal cancer to answer the question whether laparoscopic surgery is still just feasible or maybe has even reached the golden standard. The review showed that there is not a single prospectively randomized trial published comparing laparoscopic vs. open surgery for rectal cancer. It is clearly evident that until now the most laparoscopic series are published with patients selected according to criteria that vary significantly especially regarding the kind of procedures performed (anterior, low anterior, intersphincteric resections and abdomino-perineal excision), other demographic items like gender, body mass index, eventual prior laparotomies, emergencies and tumor related characteristics like tumor stage or T-categories. At the moment any data concerning outcome from prospectively randomized trials comparing laparoscopic versus open surgery for rectal cancer are missing. Therefore, there is more speculation and belief concerning the true quality of laparoscopic surgery. The review in the literature only indicates, that laparoscopic surgery for rectal cancer is feasible. To prove the potential advantage of laparoscopic surgery in rectal cancer randomized trials are essential. If a surgeon discusses laparoscopic surgery outside a randomized trial, he should go through a questionnaire, presented in the paper which reflects the present situation without any proven advantage and not available long term results and should leave a final decision to the patient.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0080-0015
pubmed:author
pubmed:issnType
Print
pubmed:volume
165
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
158-66
pubmed:dateRevised
2008-2-13
pubmed:meshHeading
pubmed:year
2005
pubmed:articleTitle
Laparoscopic TME-the surgeon's or the patient's preference.
pubmed:affiliation
Department of Surgery, University of Erlangen, Erlangen, Germany. jonas.goehl@chir.imed.uni-erlangen.de
pubmed:publicationType
Journal Article, Comparative Study, Review