Transanal laparoscopic radical resection with telescopic anastomosis for low rectal cancer
10.3760/cma.j.issn.1671-0274.2015.06.016
- VernacularTitle:腹部无切口经肛门切除标本的腹腔镜低位直肠癌根治套入式吻合保肛术
- Author:
Shiyong LI
1
;
Gang CHEN
;
Junfeng DU
;
Guang CHEN
;
Xiaojun WEI
;
Wei CUI
;
Qiang YUAN
;
Liang SUN
;
Xue BAI
;
Fuyi ZUO
;
Bo YU
;
Xing DONG
;
Xiqing JI
Author Information
1. 100700,北京军区总医院普通外科
- Keywords:
Rectal neoplasms,low;
Laparoscopy;
Radical resection;
No abdominal incision
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(6):581-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety, feasibility and clinical outcome of laparoscopic radical resection for low rectal cancer with telescopic anastomosis or with colostomy by stapler through transanal resection without abdominal incisions. Methods From January 2010 to September 2014, 37 patients underwent laparoscopic radical resection for low rectal cancer through transanal resection without abdominal incisions. The tumors were 4-7 cm above the anal verge. On preoperative assessment , 26 cases were T1N0M0 and 11 were T2N0M0. Results For all cases, successful surgery was performed. In telescopic anastomosis group, the mean operative time was (178±21) min, with average blood loss of (76±11) ml and (13±7) lymph nodes harvested. Return of bowel function was (3.0±1.2) d and the hospital stay was (12.0±4.2) d without postoperative complications. Patients were followed up for 3-45 months. Twelve months after surgery, 94.6%(35/37) patients achieved anal function Kirwan grade 1, indicating that their anal function returned to normal. Conclusions Laparoscopic radical resection for low rectal cancer with telescopic anastomosis or colostomy by stapler through transanal resection without abdominal incisions is safe and feasible. Satisfactory clinical outcome can be achieved mini-invasively.
