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Updated: Mar 20, 2026
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Open Versus Laparoscopic Surgery for Rectal Cancer: Single-Center Results of 587 Cases
Metin Keskin1, Murat Akici, Orhan Ağcaoğlu
1Departments of *General Surgery †Pathology, Istanbul Faculty of Medicine ‡Oncology Institute, Istanbul University §Department of General Surgery, School of Medicine, Koc University, Istanbul, Turkey.
Purpose:
We aimed to compare the short-term and long-term results of laparoscopic and open rectal resections.
Methods:
A total of 587 rectal cancer patients were included. The main measures were demographic data, duration of surgery, early postoperative results, pathologic data, and long-term follow-up.
Results:
There were no significant differences in demographic data, morbidity rate, tumor location, and sphincter-preservation rates between the 2 groups. The duration of surgery (155 vs. 173 min, P<0.001), time to gas passage, defecation, and solid food intake and length of hospital stay were significantly shorter in the laparoscopic group than the open group (P<0.05). According to the univariate and multivariate analysis, laparoscopic surgery did not have an effect on local recurrence but had a favorable effect on survival rates.
Conclusions:
Laparoscopic rectal surgery has advantages over open surgery with respect to short-term and long-term clinical results and when performed in high-volume centers.
