Clinical analysis of 11 cases undergoing transanal minimal invasive or combined laparoscopy total mesorectal excision for rectal cancer.
- Author:
Jingwang YE
1
;
Bin HUANG
;
Weidong TONG
;
Tao FU
;
Chunxue LI
;
Xiangfeng WANG
;
Song ZHAO
;
Li WANG
;
Lei SHI
;
Baohua LIU
Author Information
- Publication Type:Journal Article
- MeSH: Anal Canal; Humans; Ileostomy; Laparoscopy; Length of Stay; Minimally Invasive Surgical Procedures; Operative Time; Postoperative Complications; Rectal Neoplasms; Retrospective Studies
- From: Chinese Journal of Gastrointestinal Surgery 2015;18(8):821-825
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the feasibility and safety of transanal minimal invasive or combined laparoscopy total mesorectal excision.
METHODSClinical 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.
RESULTSAmong 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 VAS 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.
CONCLUSIONSFor suitable rectal cancer patients, taTME or hybrid-taTME is feasible.
