Laparoscopic total mesorectal excision for low rectal cancer of 126 cases
10.3760/cma.j.issn.1008-6315.2012.04.031
- VernacularTitle:腹腔镜全直肠系膜切除术治疗低位直肠癌126例分析
- Author:
Jian ZHANG
;
Chengyu LUO
;
Yufei DUAN
- Publication Type:Journal Article
- Keywords:
Low rectal cancer;
Total mesorectal excision;
Laparoscope surgery
- From:
Clinical Medicine of China
2012;28(4):429-431
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility of laparoscopic total mesorectal excision(TME) for low rectal cancer.Methods Laparoscopic total mesorectal excision was performed in 126 patients with low rectal cancer according to TME principle.Results The operation time was 95 - 180 min,with an average time of ( 117 ± 21 ) min,the amount of bleeding 50 - 200 ml,with an average amount of (90 ± 27 ) ml.2 - 3 days after surgery,gastrointestinal function was restored.Hospital stay was 6 - 14 days,with an average of (8 ± 2)days.Four cases converted to open surgery,the conversion rate for laparotomy was 3.2％.The proportion of sphincter-preserving operation was 95.24％ (120/126).No instant or delayed injury of ureters,large bleeding in front of sacrum and other operation-related severe complications happened intra-and after operation.Conclusion Laparoscopic surgery for low rectal cancer is safe and feasible.
