Clinical application of curved cutter stapler in laparoscopic anterior resection of low rectal cancer.
- Author:
Jian SHEN
;
Minzhe LI
1
;
Yanfu DU
;
Dehong XIE
;
Hao QU
;
Yudong ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Feasibility Studies; Humans; Laparoscopy; instrumentation; Neoplasm Recurrence, Local; Operative Time; Rectal Neoplasms; surgery; Rectum; surgery; Retrospective Studies; Surgical Stapling
- From: Chinese Journal of Gastrointestinal Surgery 2016;19(3):284-286
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo make a preliminary assessment of the feasibility of Endo GIATM Radial Reload with Tri-StapleTM Technology(Radial Reload) in laparoscopic anterior resection of low rectal cancer.
METHODSClinical data of 21 low rectal cancer patients undergoing laparoscopic anterior resection with the Radial Reload in our department between July 2014 and July 2015 were retrospectively analyzed.
RESULTSAll the rectums were achieved complete transection by the first stapler device firing and all the operations were performed successfully. No patient were converted to open surgery. The operative time ranged from 110.0 to 180.0(140.5±16.6) minutes, the blood loss ranged from 50.0 to 100.0(66.8±11.4) ml, and the distal resection margin ranged from 1.0 to 3.0(1.8±0.7) cm. Tumor cells were not discovered in all the postoperative pathological samples of distal resection margin. Among 21 cases, stage I( was found in 14 cases, stage II( in 4 cases and stage III( in 3 cases. There were no anastomotic bleeding and anastomotic leakage. There was no local recurrence and distant metastasis during a median follow-up of 6 months(1 to 13 months) postoperatively.
CONCLUSIONThe application of Radial Reload in laparoscopic anterior resection of low rectal cancer is feasible with satisfactory efficacy.