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find Author "LIU Shengnan" 1 results
  • Clinical Analysis of Laparoscopic-Assisted Transanal Everted Pull-Through Resection and Anastomosis for Ultra-Low Rectal Cancer

    Objective To investigate the feasibility of laparoscopic-assisted transanal everted pull-through resection and anastomosis in the treatment for ultra-low rectal cancer (the inferior margin of the tumor from the anal margin of less than 5cm). Methods From December 2006 to December 2009,46 patients with ultra-low rectal cancer had been undergone laparoscopic-assisted transanal everted pull-through resection and anastomosis. The intraoperative condition,postoperative complications,and the result of follow-up were analyzed retrospectively. Results The operation was successfully performed on all the patients. The intraoperative blood loss was (202±56) ml (100-290m1). The time of recovery of gastrointestinal function was (60±16) h (36-82 h). No anastomotic bleeding or stomal leak was observed. All the patients were followed-up for (31±5) months (21-45months),15 patients developed mild to moderate anastomotic stricture,1 local recurrence, and 2 liver metastasis. All the patients had no anal incontinence 10months after stoma closure operation, the defecation of all the patients became normal (4.5±1.2) months(2-10months) later. Conclusions Laparoscopic-assisted transanal everted pull-through resection and anastomosis for ultra-low rectal cancer is safe and feasible, and the effect is satisfactory.

    Release date:2016-09-08 10:37 Export PDF Favorites Scan
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