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(
±
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 Ⅱ,Ⅲ and Ⅳ,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
Zujin Ji, Xinyi Lei, Zhiyun Zhang, Xuejun Jiang, Yong Yang, Lei Chi, Mingyu Yan. A 3-year comparison between laparoscopic assisted TaTME and cryotherapy in patients with T2-3N0M0 rectal cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(04): 439-442.