Laparoscopy-assisted posterior low anterior resection of rectal cancer

BMC Gastroenterology

Jian Shen¹  Yu-Dong Zhang¹  Min-Zhe Li¹  Yan-Fu Du¹  Hao Qu¹ 

[1] Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China

关键词: Anal functional recovery;    Posterior low anterior resection;    Rectal cancer;    Laparoscope;   

Others  :  1121820
DOI  :  10.1186/1471-230X-14-158

 received in 2014-04-18, accepted in 2014-09-08,  发布年份 2014

【 摘 要 】

Background

Laparoscopy-assisted low anterior resection (LAR) of colorectal cancer, using a posterior surgical approach, is a difficult and controversial procedure to perform. We report successful operations on 13 patients with clear surgical margins and no serious complications.

Methods

Thirteen patients [10 males and three females, age range: 48 to 69 years (median: 61 years)] with low adenocarcinoma confirmed by preoperative colonoscopic biopsy (four stage T1; nine stage T2) were resected. The distance from inferior edge of tumor to dentate line was 2 ~ 5 cm (average: 3.4 cm). Intraperitoneal laparoscopy was performed to isolate rectosigmoid and mesocolon moving toward distal end of the tumor. Perineal operation was performed in the prone clasp-knife position.

Results

The circumferential resection margin (CRM) was negative in all cases. No serious postoperative complications occurred. There were four cases of perineal wound infection, two cases with superficial perineal wound dehiscence, and two cases with persistent postoperative sacral pain. All 13 patients passed the Wexner continence test and had satisfactory anal function during a mean 18-month postoperative follow-up period.

Conclusion

Laparoscopic posterior LAR of colorectal cancer is a safe and reliable treatment for patients with low colorectal cancer, increasing the chance of anal functional recovery.

Trial registration

Chinese Clinical Trial Register ChiCTR-ONC-14005145. Registered 19 August 2014.

【 授权许可】

   
2014 Qu et al.; licensee BioMed Central Ltd.

【 图 表 】

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