Clinical applications of abdominosacral resection for low rectal cancer.
- Author:
Feng GAO
1
;
Ming XU
;
Yong ZHAO
;
Song-tao ZHOU
;
Yan-wu REN
;
Feng SONG
;
Zhi-cheng LV
Author Information
- Publication Type:Journal Article
- MeSH: Abdomen; surgery; Digestive System Surgical Procedures; Humans; Perineum; Rectal Neoplasms; surgery; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2012;15(10):1070-1072
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the feasibility and safety of abdominosacral resection for patients with locally advanced primary low rectal cancer.
METHODSA total of 97 low rectal cancer patients were amenable to surgery but not anal sphincter preservation were included in this study and divided into the abdominoperineal resection group(n=49) and abdominosacral resection group(n=48) according to the order of alternative admission time between June 2010 and January 2012. Intraoperative and postoperative parameters were compared between the two groups.
RESULTSThe surgery went well and no perioperative mortality in the two groups. Compared with abdominoperineal resection group, the operative time of abdominosacral resection group(including the 2nd position adjustment time) was longer[(188±45) min vs. (143±48) min, P=0.000], the unexpected prostate or vagina injury incidence was lower [0 vs. 14.3%(7/49), P=0.032), and the perineal wound infection rate was lower [2.1% (1/48) vs. 18.4% (9/49), P=0.040].
CONCLUSIONAbdominosacral excision is feasible and safe for patients with locally advanced primary low rectal cancer.
