Laparoscopic-assisted transanal pull-through resection and anastomosis for ultra-low rectal cancer
10.3760/cma.j.issn.1673-9752.2009.01.012
- VernacularTitle:腹腔镜超低位直肠癌拖出切除吻合术
- Author:
Dongzhu ZENG
;
Yan SHI
;
Xiao LEI
;
Yongliang ZHAO
;
Chao ZHANG
;
Yuanzhi LAN
;
Peiwu YU
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms,ultra-low;
Laparoscopy;
Pull-through resection and anastomosis
- From:
Chinese Journal of Digestive Surgery
2009;8(1):30-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of laparoscopic-assisted transanal pull-through resection and anastomosis in the treatment of ultra-low rectal cancer.Methods From November 2005 to December 2006,21 patients with ultra-low rectal cancer had undergone laparoscopic-assisted transanal pull-through resection and anastomosis in Southwest Hospital.The perioperative condition,postoperative complications and the result of follow-up were retrospectively analyzed.Results The operation was successfully performed on all the patients.The mean operation time and postoperative hospital stay were(216±25)minutes(170-260 minutes)and(9.4±1.0)days(7-11 days),respectively.The time needed for the recovery of gastrointestina]function was(65±14)hours(38-88 hours).The mean perioperative blood loss was(140±49)ml(80-250 ml).All the patients were followed up for(22±4)months(15-28 months),and no anastomotic bleeding or fistula was observed.Six patients developed mild to moderate anastomotic striclure,1 local recurrence and 1 liver metastasis.Conclusions Laparoscopic-assisted transanal pull-through resection and anastomosis for ultra-low rectal cancer is safe and feasible,and the short-term effect is satisfactory.
