Analysis of 17 cases underwent laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection

Haitao ZHOU; Hao SU; Zhixiang ZHOU; Qian LIU; Jianwei LIANG; Yi SHAN; Wei PEI; Zheng WANG; Peng WANG; Lei SHI; Xishan WANG

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Analysis of 17 cases underwent laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection

VernacularTitle: 17例腹部无辅助切口标本经肛门拖出切除的腹腔镜直肠癌根治术疗效分析
Author: Haitao ZHOU ¹ ; Hao SU ¹ ; Zhixiang ZHOU ¹ ; Qian LIU ¹ ; Jianwei LIANG ¹ ; Yi SHAN ¹ ; Wei PEI ¹ ; Zheng WANG ¹ ; Peng WANG ¹ ; Lei SHI ¹ ; Xishan WANG ¹
Author Information

1. Department of colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100021, China
Publication Type:Clinical Trail
Keywords: Rectal neoplasms; Laparoscope; Natural orifice specimen extraction; Transanal specimen extraction
From: Chinese Journal of Oncology 2018;40(3):206-210
CountryChina
Language:Chinese
Abstract: Objective:To study the feasibility, safety and short-term efficacy of total laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection.
Methods:From May 2014 to March 2016, 17 patients with rectal carcinoma were treated by total laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection. The clinical data of these patients was collected and retrospectively analyzed to assess the impact of the operation on postoperative recovery time and the incidence of complications.
Results:All operations had been successfully accomplished without conversion to open surgery or conversional laparoscopic-assisted surgery . The median operative time was 105 minutes. The median blood loss was 35 ml. The median proximal and distal margin of tumor is 16 cm and 3.5 cm. The median number of lymph nodes harvest is 21, and the median first bowl movement is 43 hours. The hospitalization after operation is 8 days. No patient underwent abdomen hemorrhage or anastomotic leakage.
Conclusion:Laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection appears to be feasible, safe and with promising efficacy for selected patients.