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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (04): 439-442. doi: 10.3877/cma.j.issn.1674-3946.2022.04.024

• Original Article • Previous Articles     Next Articles

A 3-year comparison between laparoscopic assisted TaTME and cryotherapy in patients with T2-3N0M0 rectal cancer

Zujin Ji1, Xinyi Lei1,(), Zhiyun Zhang1, Xuejun Jiang1, Yong Yang1, Lei Chi1, Mingyu Yan2   

  1. 1. Department of Colorectal and Anal Surgery,Dongfeng General Hospital of Chinese Medicine,Shiyan Hubei Province 442008,China
    2. Tianmen First People’s Hospital,Tianmen Hubei Province 431700,China
  • Received:2021-04-08 Online:2022-07-14 Published:2022-07-18
  • Contact: Xinyi Lei
  • Supported by:
    Hubei Health Committee Project(WJ2019H212)

Abstract:

Objective

To compare the efficacy of laparoscopic assisted transanal total mesorectal excision(TaTME)and crvthera in T2-3N0M0 rectal cancer patients.

Methods

The clinical data of 63 patients with T2-3N0M0 rectal cancer from May 2017 to March 2018 were retrospectively analyzed. According to different treatment methods,the patients were divided into TaTME group(n=33 cases)and hypothermia group(n=30 cases). TaTME group:treated with laparoscopic TaTME treatment;Hyperthermia group:treated with undergo cryotherapy. SPSS 23.0 software was used to process the data. Wexner score of anal incontinence and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire(PISQ)score were expressed in(

xˉ
±s)and independent t test;the incidence of complications,micturition function,cure rate and recurrence rate were expressed by[n(%)],and χ2 test were performed. P<0.05 was statistically significant.

Results

There was no statistical significant difference between the two groups in Wexner score,urinary function grade and ,cure rate and recurrence rate of rectal cancer at 1 and 3 years after operation(P>0.05);the PISQ scores of patients in the ultra-low temperature group were higher than those in the TaTME group at 1 and 3 years after operation,and the proportion of grade I micturition function was higher than that in the TaTME group(P<0.05);the incidence of complications in the hypothermia group was lower than that in the TaTME group(P<0.05).

Conclusion

Both laparoscopic assisted TaTME and cryotherapy can preserve the anus in patients with T2-3N0M0 stage rectal cancer,with a high cure rate. Laparoscopic assisted TaTME is feasible for lymph node dissection,and cryotherapy can protect the sexual function and micturition function of patients with lower complications.

Key words: Rectal neoplasms, Neoplasm staging, Transanal total mesorectal excision, Cryopreservation, Postoperative complications

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