To evaluate the effect of laparoscopic total mesorectal excision in the treatment of advanced rectal cancer.

A total of 65 patients with advanced rectal cancer were enrolled in our hospital from April 2013 to June 2016 as subjects. The patients were divided into the open group (34 cases) and laparoscopic group (31 cases). All patients were treated with TME operation. Statistical analysis was performed by using SPSS20.0, the perioperative index were presented as (±s) and examined by t test; the occurrence of postoperative complications and survival rate were examined by chi square. A P value of <0.05 was considered as significant difference.

The blood loss, time of operation, time of getting out of bed in laparoscopic group was lower than that in open group, the difference was statistically significant (P<0.05). There were no significant difference in the initial exhaust time, the rectum to the inferior margin of the tumer, the number of lymph nodes scavenged and the mesangial integrity rate between the two groups (P>0.05). The overall incidence of intestinal obstruction, anastomotic fistula, urinary retention and surgical incision infection (3.2%, 1/31) were lower than that in open group (20.6%, 7/34), the difference was statistically significant (P<0.05); There was no significant difference in survival rate between the two groups in one year after operation (P>0.05).

Laparoscopic total mesorectal excision in the treatment of patients with advanced rectal cancer has a same curative effect, better minimally invasive effect , which is helpful to patient’s recovery and worth promoting.