Lone-Star perineal exposure technique in abdominoperineal resection for rectal cancer
10.3760/cma.j.cn115396-20240731-00244
- VernacularTitle:Lone-Star会阴暴露技术在直肠癌腹会阴手术中的应用
- Author:
Jun MA
1
;
Daibin TANG
;
Chunxia ZHAO
;
Yaming ZHANG
;
Bin GAO
Author Information
1. 安庆市立医院普外科，安庆 246000
- Keywords:
Rectal neoplasms;
Surgery;
Methods;
Abdominal perineal resection;
Lone-Star retractor
- From:
International Journal of Surgery
2024;51(9):627-631
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyse the clinical application value of Lone-Star perineal exposure technique in performing abdominal perineal resection (APR).Methods:Conducted a retrospective review of 17 rectal cancer patients, including 13 males, 4 females, aged from 44 to 82 years old, with the average age of (67.6±9.7) years who underwent APR at Anqing Municipal Hospital from January 2020 to July 2024. The Lone-Star retractor-assisted (LSR) exposure method was employed for the perineal operation. After incising the skin and subcutaneous tissue, a Lone-Star retractor was utilized, with eight small hooks used to extend the incision in multiple directions, facilitating the release of deep tissues. The hooks were dynamically adjusted to optimize surgical field exposure.Results:All 17 patients were successfully underwent laparoscopic-assisted APR. Fifteen operations were independently performed by a single surgeon, while 2 required assistance for intraoperative arterial hemostasis. No perforations occurred, and all specimens had a negative circumferential resection margin (CRM). Postoperative complications were observed in 4 patients, including urinary retention in one, pulmonary infection in one, wound seroma in one, and stoma mucosal detachment in one, all of which were classified as Clavien-Dindo grade 3 or lower and cured.Conclusions:The LSR exposure technique may significantly improve perineal exposure during APR for rectal cancer. It could potentially enhance intraoperative safety and efficiency, and facilitate single-operator surgery.
