Radical resection with total mesorectal excision under the laparoscope in the treatment of rectal cancer.
- Author:
Wen TIAN
1
;
Rong LI
;
Lin CHEN
;
Xi-Ping XIAO
;
Li YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Female; Follow-Up Studies; Humans; Laparoscopy; Male; Middle Aged; Rectal Neoplasms; surgery; Rectum; surgery; Treatment Outcome
- From: Chinese Journal of Surgery 2004;42(15):911-913
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the effect of radical resection with total mesorectal excision under the laparoscope in the treatment of rectal cancer.
METHODSUnder the laparoscope and with the ultrasonic scalpel, total mesorectal excision in 38 patients with rectal cancer was performed. In operation, alone the parietal layer of pelvic fascia and inside the autonomic nerve trunk, the mesorectum was excised. All patients were followed up for 2 years.
RESULTSAll cases were underwent successfully and no complication was observed. Postoperative flatus and feces were passed at 32 hours and postoperational hospital stay were 7.5 days. No trocar port implantation and no death case was observed. Two local recurrence developed in 2 years follow-up.
CONCLUSIONSRadical resection with TME is a new progress of less damageable operation, which has advantages of low postoperative local recurrence rate and help for pelvic autonomic nerve.
