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Background rectal cancers compromise approximately 25% of all primary colorectal cancers and follow a different natural disease course compared to colonic tumours, also it is well established that surgical approach, local recurrence rates and associated complications of rectal tumours are distinct from colonic ones. Purpose to use the previously mentioned factors that can influence the difficulty of performing laparoscopic anterior resection. And by using standardized operative time as an end point build reliable study models thys predicting operative difficulty for clinical use. Patients and Methods this is a prospective case series descriptive study analyzing the predictive factors of laparoscopic approach in surgical management of rectal carcinoma. Clinical records of listed patients that underwent laparoscopic anterior resection at Ain Shams University Hospitals were reviewed. Clinical records of listed patients that underwent laparoscopic anterior resection at Ain Shams University Hospitals from March 2018 to September 2018 were reviewed. Results some factors collected from the patients data as high BMI, old age, intraoperative blood loss and tumor staging may predict the difficulty of laparoscopic intervention for cancer rectum. Conclusion laparoscopic resection for low rectal cancers is a feasible technique and with proper training it can be performed safely with acceptable rates of overall morbidity and by taking into consideration the above mentioned factors that may predict the difficulty of Laparoscopic intervention in order to have the best outcome from the decision of Laparoscopic anterior resection for patients with cancer rectum.

Predictive Factors of Difficulty of Laparoscopic Management of Cancer Rectum