الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
This study aimed to : Recently, rectal cancer has been a significant leading cause of death from malignancies worldwide. Conventional open surgery is associated with significant morbidity and long convalescence. Laparoscopic surgery has been widely used as a minimally invasive surgery to treat diverse benign diseases such as benign gall bladder disease. Jacobs et al first reported the technical feasibility of laparoscopic colectomy in 1991. Since then, laparoscopic surgery has been widely operated for various benign colorectal conditions such as polyps, rectal prolapsed and now colorectal cancer increasingly. The benefits of laparoscopic surgery in comparison with open surgery have been suggested with respect to decreased morbidity, decreased pain, faster recovery, shorter hospital stay and possibly reduced immunosuppression. Laparoscopic rectal surgery is technically complex as it involves laparoscopic mobilization of colon over a wide area, intracorporeal division of major vessels, extraction of specimen and a bowel anastomosis. There is a steep learning curve to achieve advanced laparoscopic skills, and specialized equipment is required. There are concerns with oncological outcome and safety of the laparoscopic procedure in rectal cancer. There are also controversies with port site recurrence after curative resection of tumour, hospital cost and lack of data on long term oncological outcome. The aim of this study is to analyze the short term outcomes as well as the long term outcomes of laparoscopic rectal surgery. Whenever available, the following long-term data for long-term outcomes were extracted: duration of follow up, recurrence rate, overall survival and recurrence free survival. Results showed no difference in the recurrence rate, overall survival and long term survival between our study and other studies evaluating laparoscopic colorectal resections. Conclusion : Laparoscopic anterior resection can be performed with good technical efficiency, quick functional recovery, and mild disability. The short-term oncologic results of laparoscopic anterior resection seem to be acceptable, but further long-term follow-up for these patients is mandatory to define the oncologic outcomes of this approach.