Clinical application of obstructive lower rectal carcinoma laparoscopic sphincter-preserving operation

doi:10.3877/cma.j.issn.1674-6899.2016.06.008

Abstract

Abstract:

Objective

To explore the feasibility of sphincter-preserving operation for low rectal carcinoma.

Methods

Retrospective analysis of low rectal carcinoma of obstruction of sphincter-preserving operation(Dixon) surgery in patients with clinical data of 45 cases from our hospital between Jan. 2012 and Dec. 2015.

Results

Intestinal fistula from obstructive low rectal carcinoma sphincter-preserving operation group , including 6 cases (6/45, 13.3%) with full drainage after intestinal fistula healing, 5 cases of local recurrence, 3 cases with metastasis. Without any death after operations. In the Sphincter-preserving operation group, there was an advantage in the amount of bleeding (120 ± 3) ml and postoperative hospital stay (9 ± 1) d.

Conclusions

The appropriate cases selected, surgery or colonic irrigation and preventive colostomy for obstructive rectal carcinoma decreases can be used laparoscopic sphincter-preserving operation, which is not only able to recover a good bowel movement and then control functions, but also can be achieved Miles and the same radical surgery, obtaining the similar effect.

Key words: Rectal carcinoma, Obstructive, Low, Sphincter-preserving operation, Fistula

Anshu Xu, Chaochun Fu, Shibo Zhang, Yongping Xu, Xin Shi, Guan Lu, Jie Li, Xiaobin Yang. Clinical application of obstructive lower rectal carcinoma laparoscopic sphincter-preserving operation[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(06): 348-350.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2016.06.008

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2016/V09/I06/348

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References 17

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组别	例数	手术时间(min，±s)	术中出血量(ml, ±s)	清扫淋巴结数目(枚，±s)	术后住院时间(d, ±s)	并发症(例)
保肛组	45	152 ± 11	120 ± 3	12 ± 3	9 ± 1	6
对照组	50	145 ± 5	160 ± 8	13 ± 4	14 ± 1	8
P值	?	> 0.05	< 0.05	> 0.05	< 0.05	> 0.05

组别	例数	手术时间(min，±s)	术中出血量(ml, ±s)	清扫淋巴结数目(枚，±s)	术后住院时间(d, ±s)	并发症(例)
保肛组	45	152 ± 11	120 ± 3	12 ± 3	9 ± 1	6
对照组	50	145 ± 5	160 ± 8	13 ± 4	14 ± 1	8
P值	?	> 0.05	< 0.05	> 0.05	< 0.05	> 0.05

组别	例数	局部肿瘤复发		肿瘤转移
组别	例数	有	无	有	无
保肛组	45	5	40	3	42
对照组	50	6	44	7	43
P值	?	> 0.05		> 0.05

组别	例数	局部肿瘤复发		肿瘤转移
组别	例数	有	无	有	无
保肛组	45	5	40	3	42
对照组	50	6	44	7	43
P值	?	> 0.05		> 0.05

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