Clinical analysis of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer with 18 cases attached
- VernacularTitle:18例腹腔镜低位直肠癌保肛术的临床分析
- Author:
Yingdong JIA
- Publication Type:Journal Article
- Keywords:
Low rectal cancer;
Laparoscopy;
Sphincter-preserving surgery
- From:
Journal of Chongqing Medical University
2007;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application and clinical effects of laparoscopy-assisted sphincter-preserving surgery for low rectal cancer. Methods:Following total mesorectum excision,ultra-low colon-anus anastomosis was performedin 18 cases with low rectal cancer by using laparoscopy and disposable circular stapler,then from 6-month to 12-month follow-up was did.The clinical data on intaoperative blood loss,residual tumour at the resection margin,postoperation defecation function,operative complications and local recurrence rate were analyzed retrospectively. Results:The mean blood loss was 86 ml in all cases,none of these cases suffered from residual tumour at the resection margin,fecal incontinence,anastomotic leakage,operative death and local recurrence. Conclusion:Based on the principle of radical resection, laparoscopy-assisted sphincter-preserving surgery for low rectal cancer is charactered with less bleeding,can preserve anus defecate function and improve quality of life in cases with low rectal cancer.
