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Parastomal and incisional hernia following laparoscopic/open abdominoperineal resection: is there a real difference?

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F19%3AE0107793" target="_blank" >RIV/00843989:_____/19:E0107793 - isvavai.cz</a>

  • Alternative codes found

    RIV/61988987:17110/18:A1901WDB RIV/61988987:17110/19:A210262C

  • Result on the web

    <a href="https://link.springer.com/article/10.1007%2Fs00464-018-6453-0" target="_blank" >https://link.springer.com/article/10.1007%2Fs00464-018-6453-0</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s00464-018-6453-0" target="_blank" >10.1007/s00464-018-6453-0</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Parastomal and incisional hernia following laparoscopic/open abdominoperineal resection: is there a real difference?

  • Original language description

    Background: The aim of the present study was to explore incidence and severity of parastomal hernia (PSH) formation during the first 2 years after open/laparoscopic abdominoperineal resection (APR). Methods: This was a retrospective cohort study conducted in a single institution. All patients who underwent laparoscopic/open APR for low rectal cancer within a 10-year study period were assessed for study eligibility. Results: In total, 148 patients were included in the study (97 patients after laparoscopic APR; 51 patients after open APR). There were no statistically significant differences between study subgroups regarding demographic and clinical features. The incidence of PSH detected by physical examination was significantly higher in patients after laparoscopic APR 1 year after the surgery (50.5% vs. 19.6%, p < 0.001) and 2 years after the surgery (57.7% vs. 29.4%, p = 0.001). The incidence of radiologically detected PSH was significantly higher in laparoscopically operated patients after 1 year (58.7% vs. 35.3%, p = 0.007) and after 2 years (61.8% vs. 37.2%, p = 0.004). The mean diameter of PSH was similar in both study subgroups. The incidence of incisional hernia was significantly higher in patients who underwent open APR after 1 year (25.5% vs. 7.2%, p = 0.002) and after 2 years (31.3% vs. 7.2%, p < 0.001). Conclusions: The risk of PSH development after laparoscopic APR appears to be significantly higher in comparison with patients undergoing open APR. Higher incidence of PSH should be considered a potential disadvantage of minimally invasive approach to patients with low rectal cancer.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Surgical endoscopy

  • ISSN

    0930-2794

  • e-ISSN

    1432-2218

  • Volume of the periodical

    33

  • Issue of the periodical within the volume

    6

  • Country of publishing house

    DE - GERMANY

  • Number of pages

    6

  • Pages from-to

    1789-1794

  • UT code for WoS article

    000467688800010

  • EID of the result in the Scopus database

    2-s2.0-85053676790