Significance and techniques of pelvic floor reconstruction in laparoscopic low anterior resection for rectal cancer
10.3760/cma.j.cn115396-20240102-00002
- VernacularTitle:盆底重建在直肠癌腹腔镜低位直肠前切除术中的意义和方法
- Author:
Xiaoqiao ZHANG
1
Author Information
1. 山东第一医科大学附属省立医院（山东省立医院）胃肠外科，济南 250021
- Keywords:
Rectal neoplasms;
Laparoscopes;
Pelvic floor;
Low anterior resection;
Omentun
- From:
International Journal of Surgery
2024;51(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
The residual pelvic floor cavity formed by laparoscopic low anterior resection for rectal cancer can result in some complications, such as spread of pelvic infection following anastomotic leakage, adhesive intestinal obstruction, and may increase the probability of radiation intestinal injury in case of postoperative radiotherapy. Reconstructing the pelvic floor can prevent the small intestine from entering the residual cavity, reduce the risk of intestinal obstruction and radiation induced intestinal injury; prevent or reduce the occurrence and severity of anastomotic leakage. Reconstructing the pelvic floor can also improve the anal function after low anterior resection to a certain extent and enhance the quality of life of patients. Direct suturing of the pelvic floor peritoneum and pedicled greater omentum flap graft transplantation are currently two commonly used pelvic floor reconstruction methods, which are relatively simple to operate, easy to promote, and worthy of routine application.
