Abstract:
Objective To observe complications and recurrence of patients with low rectal cancer who underwent laparoscopic transanal pull through anterior resection.
Methods From April 2014 to October 2017, clinical data of 80 patients (observation group) with low rectal cancer underwent laparoscopic transanal pull through anterior resection, were analyzed retrospectively. While 80 patients (control group) with low rectal cancer underwent conventional laparoscopic anterior resection. Statistical analysis were performed by using SPSS21.0 software. Postoperative measurement data were expressed as mean±standard deviation, and were examined by independent t-test. The postoperative complications and recurrence rate were expressed as percentage (%), and was examined by chi-square test. A P value<0.05 was considered as significant difference.
Results Compared with control group, pathological margin distance increased significantly in observation group [(3.0±0.6) cm vs. (3.9±1.1) cm, P<0.05]. However, the local recurrence rate was significantly lower in observation group (5.0% vs. 1.3%, P<0.05). There were no significant difference between two groups in terms of incidence rate, operation time, intraoperative bleeding, lymph nodes and the number of positive lymph nodes (P>0.05).
Conclusion Laparoscopic transanal pull through anterior resection for low rectal cancer is safe and feasible, with lower recurrence rate.
Key words:
Rectal neoplasms,
Anal canal,
Laparoscopes,
Postoperative complications,
Recurrence
Jianqing Du, Yuanzhong Zhang. Clinical observation of laparoscopic transanal pull through anterior resection in treating low rectal cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(03): 273-275.