Document Type : Original Article
Authors
1
Departments of General Surgery, Faculty of Medicine, Gastrointestinal Surgery Centre, Mansoura University, Egypt
2
Resident of GIT Surgery at Gastrointestinal Surgery Centre, Mansoura University, Egypt
10.21608/ejsur.2025.360623.1391
Abstract
Background: Colorectal cancer (CRC) is the third commonest cancer worldwide, as well as a leading etiology of cancerrelated mortality.
Aim: To evaluate the short-term outcomes following anterior resection in cases with rectal and recto-sigmoid cancer
regarding preoperative, oncological, and functional outcomes.
Patients and Methods: This was a retrospective investigation carried out at the Gastrointestinal Surgical Center (GISC),
Mansoura University Hospitals, Egypt, performed on 70 patients who underwent AR (35 open and 35 laparoscopic) in
the same center and completed at least two years of follow-up conducted over the period of one year, which provided at
least a two-year follow-up.
Results: We found no statistically significant difference between the groups under investigation in terms of hospital
stay, reoperation, reoperation time, and reoperation causes. In terms of results, we found no statistically significant
difference between the groups under investigation in terms of types, anastomosis leakage, time of leakage in days, leakage management, intestinal obstruction, stricture, paralytic ileus, recurrence, and recurrence site. In contrast, patients had more affected as regarded to relation to sexual activity and post-morbidity in open groups (22) 62.9% vs 12(34%)
p= 0.02. The tested groups differed statistically significantly in terms of sexual dysfunction kind and LARS score category.
Conclusion: The study found that both laparoscopic and open procedures for rectal cancer surgery could achieve radical
resection, with laparoscopic surgical approaches being preferred for better sexual activity.
Keywords
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