Clinical analysis of 11 cases undergoing transanal minimal invasive or combined laparoscopy total mesorectal excision for rectal cancer
10.3760/cma.j.issn.1671-0274.2015.08.027
- VernacularTitle:完全经肛门或联合腹腔镜的全直肠系膜切除术11例临床分析
- Author:
Jingwang YE
1
;
Bin HUANG
;
Weidong TONG
;
Tao FU
;
Chunxue LI
;
Xiangfeng WANG
;
Song ZHAO
;
Li WANG
;
Lei SHI
;
Baohua LIU
Author Information
1. 第三军医大学大坪医院野战外科研究所胃结直肠外科
- Keywords:
Rectal neoplasms;
Total mesorectal excision;
Transannal minimally invasive surgery;
Nataral orifice transluminal endoscopic surgery
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(8):821-825
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of transanal minimal invasive or combined laparoscopy total mesorectal excision. Methods Clinical data of 11 cases with rectal cancer undergoing transanal total mesorectal excision (taTME) in our hospital between September 2014 and May 2015 were analyzed retrospectively. Results Among 11 patients, 3 underwent pure-taTME successfully without abdominal incision and ileostomy, whose operation time was 210, 230, 215 min respectively, while other 8 patients underwent laparoscopy-assisted taTME (hybrid-taTME) with operation time ranging from 150 to 290 (median 205) min. No patient was transferred to open operation, while larger tumors of two patients were removed from hypogastric 5 cm incision. Postoperative first day V AS score was 1 to 3 (2.0±0.6), the first flatus was 6 to 70 (30.2±17.3) h, hospital stay was 4 to 12 (7.5±2.5) d, the blood loss was (104±127) ml and the liquid food intake was (28.3±6.3) h. Postoperative complications included 1 case of subcutaneous emphysema, 1 case of anastomotic stoma bleeding, 2 cases of dysuria, which were cured by conservative therapy. One patient developed rectovaginal fistula 20 days after operation and then underwent ileostomy. No relapse of tumor or death during follow-up. Conclusions For suitable rectal cancer patients, taTME or hybrid-taTME is feasible.
