Open AccessOncological adequacy of laparoscopic rectal cancer resection: An audit in Indian perspective
Author(s) -
Fadl H Veerankutty,
Nandu Nair,
Sidharth Chacko,
Vipin I Sreekumar,
Deepak Varma,
Prakash Kurumboor
Publication year - 2020
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_272_18
Subject(s) - medicine , total mesorectal excision , colorectal cancer , resection margin , population , rectum , surgery , cancer , audit , general surgery , laparoscopy , resection , economics , environmental health , management
Laparoscopic resection for rectal cancer (LRR) has gained popularity because of better short-term outcomes and less post-operative morbidity. However, LRR is still not endorsed as a standard of care mainly due to concerns centred on oncological safety in comparison with open approach. Moreover, two recent randomised trials (Australian Laparoscopic Cancer of the Rectum [ALaCaRT] and the American College of Surgeons Oncology Group [ACOSOG] Z6051) have failed to prove that LRR is non-inferior to open resection. Studies on oncological adequacy of LRR in the Indian population in terms of quality of mesorectal excision are scarce. In this article, we aim to audit the oncological adequacy of LRR in our centre and thereby critically analyse the reliability of extrapolation of results of ALaCaRT and ACOSOG trials to the Indian population.