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Chinese Archives of General Surgery(Electronic Edition) ›› 2018, Vol. 12 ›› Issue (03): 174-176. doi: 10.3877/cma.j.issn.1674-0793.2018.03.005

Special Issue:

• Original Article • Previous Articles     Next Articles

Clinical study of laparoscopic radical resection for rectal cancer: a report of 56 cases

Wanquan Wu1,()   

  1. 1. Department of General Surgery, Anhui Province Xinhua Hospital of Huainan City, Huainan 232052, China
  • Received:2017-12-22 Online:2018-06-01 Published:2018-06-01
  • Contact: Wanquan Wu
  • About author:
    Corresponding author: Wu Wanquan, Email:

Abstract:

Objective

To share the experience of laparoscopic radical resection for rectal cancer from the aspects of surgical procedures, surgical techniques, fistulas and anastomosis.

Methods

From January 2015 to September 2016, the clinical data of fifty-six cases undergoing laparoscopic rectal cancer resection in Xinhua Hospital of Huainan City were analyzed retrospectively.

Results

The laparoscopic radical resection and anesthesia process were smooth in the 56 patients. There were 17 cases (30.36%), 35 cases(62.50%), and 4 cases(7.14%) performed by Miles, Dixon and Hartmann operation, respectively, including 6 cases of prophylactic terminal ileostomy in the Dixon group. The laparoscopic operation time was 120-230 (162±43) min, the amount of bleeding was 10-400 (74±50.5) ml. Postoperative pathology showed 19 cases in stage Ⅱ, 35 in stage Ⅲ, and 2 in stage Ⅳ. Postoperative complications found 2 (3.57%) of intestinal obstruction, 3 (5.36%) of incision infection, and 1 (1.78%) of pulmonary infection. All cases were cured and discharged. No recurrence was found after 12-34 months of follow-up.

Conclusions

The path and skills of laparoscopic colorectal cancer is not exactly the same. Following the basic principles and skills of tumor surgery, laparoscopic colorectal cancer surgery is safe, effective, minimally invasive, and precise.

Key words: Rectal neoplasms, Laparoscopes, Colorectal surgery

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