Advances in laparoscopic sphincter-preserving surgery for low rectal cancer
10.3969/j.issn.1000-8179.20140528
- VernacularTitle:腹腔镜低位直肠癌保肛手术新进展
- Author:
Mingang YING
;
Qing YE
;
Feng HUANG
- Publication Type:Journal Article
- Keywords:
low rectal cancer;
laparoscope;
anus-preserving operation
- From:
Chinese Journal of Clinical Oncology
2014;(14):881-884
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of low rectal cancer, which severely threatens human health, has been increasing annually in China. Sur-gical operation is the most effective treatment for low rectal cancer. In-depth analyses on the physiology and anatomy of the rectum and the biological characteristics of low rectal cancer have led to the wide application of anus preservation operation as a treatment for this disease. Anus preservation operation is widely used, especially because the application of the laparoscopic technique has recently be-come a popular topic in colorectal surgery. Alternative laparoscopic sphincter-preserving procedures for this disease include the follow-ing: laparoscopic anterior resection; and laparoscopic anterior resection with inter-sphincter resection or with prolapse technique. Colorectal anastomosis with double-stapler technique, hand-sewn coloanal anastomosis, and colonic J-pouch-anal anastomosis are com-mon reconstruction procedures. Each procedure has its own adaptive range, advantages, and disadvantages. Radical surgery must be pri-oritized, but we should also consider the patients' life quality when selecting a mode of surgery.
