Application of manual anastomosis with two operations out of anus in laparoscopic anal sphincter preserving resection of ultra low rectal cancer
10.3760/cma.j.issn.1673-4904.2011.08.005
- VernacularTitle:二联式经肛外手工吻合在腹腔镜超低位直肠癌保肛术中的应用
- Author:
Hui XU
;
Wenlong JIA
;
Wenjun ZOU
;
Changlin DENG
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Rectal neoplasms;
Anastomosis,surgical;
Preserving procedure
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(8):12-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the values of manual anastomosis with two operations out of anus in laparoscopic anal sphincter preserving resection of ultra low rectal cancer. Methods Radical excision of ultra low rectal cancer was performed with ultrasonic scalpel in 12 patients based on the concept of total mesorectal excision (TME) and ultra low coloreclal/anal anastomosis was performed applying manual anastomosis with two operations out of anus. Results All the operations were finished successfully, without conversions to open for surgery. One case had anastomotic leakage, and there were no bleeding and infection of abdominal cavity, anastomotic stenosis and other complications. The operating time was 185-310 (218 ±10) min, the blood loss was 160-450 (232 ±8) ml,the length of hospital stay was 9-14 (11 ±3) d. All patients were followed up 6-36(18 ± 2) months, local recurrence was not found but 1 case had liver metastasis.Conclusions The manual anastomosis with two operations out of anus in laparoscopic anal sphincter preserving resection of ultra low rectal cancer is safe,economical,effective,minimally invasive, and has the benefits of less bleeding during the operation and shorter hospital stay. It should be widely used.
