Prevention and management of wound complications of laparoscopic-assisted radical resection for lower rectal cancer:with an clinical analysis of 87 cases
- VernacularTitle:87例腹腔镜辅助低位直肠癌根治术中损伤性并发症的处理
- Author:
Yong CHENG
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Rectal cancer;
Wound;
Complication
- From:
Journal of Chongqing Medical University
2007;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the prevention and management of wound complications of laparoscopic-assisted radical rectectomy in treatment of the lower rectal cancer. Methods:The clinical data of 87 patients with rectal cancer performed laparoscopic radical rectectomy were analyzed retrospectively.Among them,66 cases were performed by total mesenterectomy resection(TME),21 cases by abdominal perineal resection(APR). Results:The rates of wound complications were as follows: the incidence of intestinal lesion was 4.60%;presacral venous plexus lesion 3.45%;vagina lesion 3.45%;prostate lesion 2.30%;seminal vesicle and deferent duct lesion 2.30%,and ureter lesion 1.15%. Except for one case with changing operative operation,all wound of organs were treated in Laparoscopic techniques.The mean hospitalization was 11d(9~14d).There was no postoperative complication during the follow-up in 14 months. Conclusions:Laparoscopic radical rectectomy is applicable to rectal cancer at proper indication. In order to decrease the wound complications,advanced laparoscopic skills and affluent experiences with operative recectomy,and being familiar with principles and anatomy of TME,and also changing operative methods in time are required.
