Clinical efficacy of laparoscopic modified Parks operation on the ultra-low rectal cancer.
10.11817/j.issn.1672-7347.2021.190774
- Author:
Haibo DING
1
;
Jian LI
2
;
Zhi YANG
3
;
Zha PENG
4
;
Xin LIAO
3
Author Information
1. Department of Colorectal and Anal Surgery, Xiangya Hospital, Central South University, Changsha 410008. 2812097576@qq.com.
2. Department of Colorectal and Anal Surgery, Xiangya Hospital, Central South University, Changsha 410008. lijian869@163.com.
3. Department of Colorectal and Anal Surgery, Xiangya Hospital, Central South University, Changsha 410008.
4. Department of General Surgery, Xiangtan First People's Hospital, Xiangtan Hunan 411101, China.
- Publication Type:Journal Article
- Keywords:
anus-saving operation;
modified transanal colon-anal anastomosis operation, ultra-low position;
rectal cancer
- MeSH:
Anal Canal/surgery*;
Humans;
Laparoscopy;
Rectal Neoplasms/surgery*;
Retrospective Studies;
Treatment Outcome
- From:
Journal of Central South University(Medical Sciences)
2021;46(2):121-126
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To investigate the clinical efficacy of laparoscopic modified Parks operation on the patients with ultra-low rectal cancer.
METHODS:According to the preoperative stage and intraoperative anastomotic position, 98 patients with ultra-low rectal cancer above T2 stage underwent laparoscopic Dixon operation, modified Parks operation and Miles operation, respectively. All patients were divided into 3 groups: a Dixon operation group (
RESULTS:The patients were more obese, the distance between tumor and anal margin was closer, and the operation time was longer in the modified Parks operation group than those in the Dixon operation group (all
CONCLUSIONS:Laparoscopic modified Parks operation is a safe, economical and effective anus preservation operation, which can not only save the anus for some patients who had to perform Miles operation, but also recover better and faster after operation. Although the early anal function of patients performed with the modified operation is poor, it can gradually recover to the same level as the patients performed with the Dixon operation.
