To investigate the surgical methods, safety and clinical value of pelvic peritoneal reconstruction in three- dimensional laparoscopic Dixon for low rectal cancer.

The clinical data of 178 cases of low rectal cancer which were made pelvic peritoneum reconstruction in 3D laparoscopic assisted Dixon from Mar. 2015 to Jul. 2016 were retrospectively analyzed. The surgical techniques, safety and clinical value were summarized.

178 patients underwent 3D laparoscopic assisted Dixon without laparotomy and the pelvic peritoneum were reconstructed successfully. The mean operation time was (150.78 ± 30.20)min, the pelvic peritoneum reconstruction time was(18.13 ± 6.71)min, the intraoperative blood loss was(61.00 ± 12.67)ml, the postoperative hospitalization time was(10.34 ± 2.65)days, the bed ambulation time was(2.85 ± 1.14)days and the ileostomy ventilation time was(2.96 ± 0.83)days, the postoperative eating time was (3.45 ± 1.30)days, the time of drainage tube was(4.69 ± 1.71)days, the distal margin was (2.87 ± 0.70)cm, and the circumferential incised margins were all negative. 2 patients were occurred anastomotic leakage. The patients were followed up for one year, the adhesive intestinal obstruction, radiation enteritis, pelvic peritoneal cleft hernia and other complications were not found.

The pelvic peritoneal reconstruction in 3D laparoscopic assisted Dixon for low rectal cancer were safe and feasible and has important application value. The pelvic peritoneal reconstruction in 3D laparoscopic assisted Dixon were worthy of clinical promotion.