Effect of modified laparoscopic Bacon coloanal anastomosis in transanal totalmesorectal excision:A 8 cases report
10.19538/j.cjps.issn1005-2208.2019.07.18
- Author:
Xi-yu SUN
1
;
Bei-zhan NIU
1
;
Jiao-lin ZHOU
1
;
Hui-zhong QIU
1
Author Information
1. Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College Beijing 100730,China
- Publication Type:Journal Article
- Keywords:
laparoscope;
modified Bacon surgery;
rectal cancer;
anastomotic leakage;
transand total mesorectal excision
- From:
Chinese Journal of Practical Surgery
2019;39(07):716-718
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To explore the effect of modified Bacon coloanal anastomosis in transanal total mesorectal excision(TaTME).METHODS: The clinical data of 8 patients with low rectal cancer treated with TaTME from January 2016 to January 2019 in the division of colorectal surgery of department of general surgery of Peking Union Medical College Hospital were retrospectively analyzed. Laparoscopic assisted modified Bacon coloanal anastomosis was used during operation. The incidence of postoperative complications including anastomotic leakage was observed and the anal function was evaluated.RESULTS: All 8 patients underwent operation successfully. The distance from the inferior margin of the tumor to the anal verge was(4.8 ±0.4) cm. The number of retrieved lymph nodes in postoperative pathological examination was(12.9±2.5). The mean time of first operation was(140.8±8.6) min, and the Second stage operation time was(39.1±9.6) min. The median time between the two operations was 19(13, 20) days, and the median hospital stay was22(17, 24) days. The median follow-up time was 16(4, 36) months. No anastomotic leakage occurred and the anal function was good after operation. Six patients had uncontrollable anal exhaust after operation, and two patients had occasional mucous or watery fecal incontinence after operation, but they were less than once a month. They could be improved by dietary structure adjustment and external sanitary pads.CONCLUSION: Laparoscopic-assisted modified Bacon operation in TaTME avoids anastomotic leakage, and reduces the incidence of anal incontinence after operation.However, the hospital stay is prolonged.
