Clinical value of laparoscopic surgery by pull through technique for anterior resection of rectum in patient with rectal cancer
10.3969/j.issn.1007-1989.2017.01.001
- VernacularTitle:经肛拖出式全腹腔镜直肠癌前切除在直肠癌患者中的临床价值
- Author:
Hengjun LIN
;
Xueke QIU
;
Hang YUAN
- Keywords:
colorectal cancer;
laparoscopic surgery by pull through technique for anterior resection;
laparoscopic surgery
- From:
China Journal of Endoscopy
2017;23(1):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical values of laparoscopic surgery and laparoscopic surgery by pull through technique for anterior of rectum in patients with rectal cancer. Methods From Jan, 2013 to Jan, 2014, 120 patients with low rectal cancer were prospectively collected. The patients were randomly divided into study group (n= 60) and control group (n= 60). Patients in the study group were treated with laparoscopic surgery by pull through technique for anterior resection of rectum, while patients in the control group were treated with laparoscopic surgery. The primary outcomes were intraoperative situations, postoperative complications and recovery. Results When compared with the control group, patients in the study group got a significantly shorter operative duration [(132.32±14.92) vs (154.73±17.65) min, P=0.000];a signiifcantly lower postoperative drainage volume [(299.93±56.49) vs (365.24±68.94) ml, P= 0.000]; a significantly shorter gastrointestinal function recovery time [(57.42±5.84) vs (61.85±7.40) h, P=0.002]; and a signiifcantly less of length of hospital stay [(12.54±2.76) vs (14.75±2.10) d, P= 0.000]. There was no significant difference between the two groups in the amount of bleeding, the number of lymph node dissection, pneumonia, lower extremity arteriovenous thrombosis, incision infection, anastomotic leakage, intestinal obstruction, 2-year recurrence rate and mortality rate (P> 0.05). Conclusion laparoscopic surgery by pull through technique for anterior resection of rectum can accelerate postoperative recovery.
