Laparoscopy-assisted total mesorectal excision for anterior resection of rectal cancer:a report of 42 cases
- VernacularTitle:腹腔镜辅助TME直肠癌根治性切除前路吻合术:附42例报告
- Author:
Zhengwen XU
;
Jianping WU
;
Wenjun LUO
- Publication Type:Journal Article
- Keywords:
Rectal Neoplasms/surg;
Laparoscopic-assisted Operation;
Total Mesorectal Excision
- From:
Chinese Journal of General Surgery
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of laparoscopy-assisted total mesorectal excision(TME) for anterior resection of rectal cancer.Methods The clinical records of 42 patients with rectal cancer who underwentlaparoscopic TME from April 2006 to July 2008 were analyzed retrospectively.Results All the laparoscopic TME with anal sphincter preservation operations were successful;no case was converted to open procedure.The distal end of rectum was anastomosed by a reusable linear stapler.The average operative time was 195 min(170-230 min) and the operative blood loss 15 mL(10-30 mL).The time for bowel functionrecovery was 32 hours.One patient had postoperative dysuria,and one had intraoperative subcutaneousemphysema.No anastomotic leakage or infection of incisional wound occurred.Conclusions Laparoscopy-assisted anterior resection for rectal cancer is safe and feasible.