Hand-assisted laparoscopic surgery compared with open resection for mid and low XXXX : a case-matched study with long-term follow-up.

@entity1 @entity190 @entity5 @entity281 @entity1104
BACKGROUND: This study was designed to compare the long-term surgical outcomes of @entity1 with mid and low @entity5 after open or @entity1104 ( @entity1104 ). METHODS: A case-matched controlled prospective analysis of 116 @entity1 who underwent @entity1104 ( @entity1104 ) for stage I to III mid and low @entity5 from 2005 to 2010 was performed. Contemporary @entity1 who underwent open rectal surgery were matched to the @entity1104 group at the ratio of 1:1. The perioperative clinical outcomes, postoperative pathology, and survival outcomes were compared between the groups. RESULTS: The @entity1 characteristics between the two groups were comparable. Ninety @entity1 in the open group and 85 in the @entity1104 group received sphincter-preserving surgery. @entity1104 resulted in less @entity190 and wound @entity281 , faster return to oral diet, shorter postoperative hospital stay, and longer operating time. The two groups had similar complication rates. Lymph node retrieval and involvement of circumferential and distal margins were similar for both procedures. Cumulative incidences of locoregional recurrence, disease-free, or overall survival rates were statistically similar. CONCLUSIONS: This study suggests that @entity1104 for mid and low @entity5 is acceptable in terms of short-term clinical outcomes and long-term survival results.
