Annals of Coloproctology

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Original Article

Malignant disease, Rectal cancer

First Feasibility Study and Short-term Outcomes of Laparoscopic-Assisted Anterior Resection in Colorectal Cancer in Malaysia: Henry Chor Lip Tan, Jih Huei Tan, Nur Akmalrudin Nur Dzainuddin, Koon Khee Chan; Ann Coloproctol. 2020;36(2):94-101. Published online March 16, 2020; DOI: https://doi.org/10.3393/ac.2019.05.10

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Purpose
The purpose of this study was to demonstrate the feasibility and safety of laparoscopic-assisted anterior resection (LAAR) for colorectal cancer in a local Asian population.
Methods
This is a retrospective review of all patients with colorectal cancer operated from November 2017 to October 2018. Main variables of interest were demography, type and surgery, length of stay (LOS), and the involvement of proximal and distal doughnut. Postoperative complications were analysed using chi-square or Fisher exact and Mann-Whitney tests.
Results
There were 23 patients with a mean age of 62.5 ± 12.2 years. The mean time from diagnosis to surgery was 97.1 ± 154.84 days. There were 12 patients in the LAAR group and 11 in the open anterior resection (OAR) group. Duration of surgery was shorter in OAR (129.58 ± 51.38 minutes) compared to LAAR (147.91 ± 39.37 minutes). Mean LOS was shorter in the LAAR group with 5±1.5 days compared to the OAR group of 7.42 ± 4.25 days. However, there was no significant P-value for both duration of surgery (P = 0.322) or LOS (P = 0.87). A total of 3 complications were recorded after OAR and 2 after LAAR. Both groups had clear proximal and distal margins with 16 (12–18.5) harvested lymph nodes in LAAR and 18 (16–22) in OAR, which were equal (P = 0.155).
Conclusion
This study reports a shorter LOS in the minimally invasive group of 2 days with similar oncologic resection outcomes. This shows that LAAR is feasible in Malaysia and has potential outcome benefits.

Citations

Citations to this article as recorded by

Short-Term Surgical Outcomes of Curative Colorectal Resections from an Evolving Low-Volume Cancer Center in a Tier-2 City in India
Vishnu S. Menon, Amita Sekhar Padhy, Rigved Nittala, Mounika Basani, Sidaksingh R. Arora
Indian Journal of Surgical Oncology.2026; 17(2): 436. CrossRef
Five-year follow-up retrospective review of colorectal cancer patients in Johor Bahru
Jih Huei Tan, Hoo Zhi Ai, Keith Tan Jian Li, Lai Yong Sheng, Anoopurany Subramaniam, Aishath Rahy Abdul Latheef, Cheah Suang Yao, Kelly Loo Kai Li, Ian Chiew Juin Liang, Raymond Lim Zhun Ming, Henry Tan Chor Lip, Koon Khee Chan
Proceedings of Singapore Healthcare.2025;[Epub] CrossRef
A single-center retrospective cohort study on the effects of different surgical routes on complications after radical resection of low rectal cancer
Ruifeng Ye, Weixin Wu, Chongbiao Chen, Long Yi, Qin Gao
BMC Surgery.2025;[Epub] CrossRef
Perforated caecal carcinoma within a strangulated inguinal hernia
Wick Champ Lai, Mogaraj Sellapan, Novinth Kumar Raja Ram, Henry Tan Chor Lip
ANZ Journal of Surgery.2022; 92(6): 1512. CrossRef
Low Anterior Resection Syndrome: Pathophysiology, Risk Factors, and Current Management
Seung Mi Yeo, Gyung Mo Son
The Ewha Medical Journal.2022;[Epub] CrossRef
Critical adjustments and trauma surgery trends in adaptation to COVID-19 pandemic in Malaysia
Henry Tan Chor Lip, Tan Jih Huei, Yuzaidi Mohamad, Rizal Imran Alwi, Tuan Nur' Azmah Tuan Mat
Chinese Journal of Traumatology.2020; 23(4): 207. CrossRef

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