Abstract
ABSTRACTObjectives:This paper introduces the surgical procedure of “terminal ileum suspension” in the radical resection for low rectal cancer patients and evaluates the possibility of its clinical application.Methods:This paper retrospectively analyzed the data of patients with low rectal cancer who underwent “terminal ileum suspension” during radical resection of rectal cancer (Dixon) in our hospital, and introduces the specific surgical procedures and key points of “terminal ileum suspension”. Observe the relevant conditions of patients during the operation, postoperative recovery and postoperative complications, and analyze the safety and feasibility of this operation (“terminal ileum suspension”).Results:The operation of all 8 patients went smoothly, and no anastomotic leakage, intestinal obstruction, and open diversion of suspended terminal ileum were found. The application of “terminal ileum suspension” in the operation of low rectal cancer has achieved ideal clinical effect, without increasing the rate of anastomotic leakage and rehospitalization, reducing the proportion of the secondary return operation, and reducing the pain of the patients.Conclusion:“Terminal ileum suspension” is a safe, effective and feasible surgical method for laparoscopic radical resection of low rectal cancer, which can be applied in clinical practice.
Highlights
Rectal cancer is one of the most common malignant tumors of the digestive system, and its incidence has been increasing year by year in the past 20 years, among which the low rectal cancer accounts for 70% ~ 80% of all rectal cancers.[1]
With the introduction of total mesorectal resection (TME), the development of laparoscopic technology and the upgrading of medical equipment, patients with low/ultra-low rectal cancer have the opportunity to preserve the anus, but the probability of anastomotic leakage after preserving the anus is significantly increased. It has been reported in the literature that the incidence of anastomotic leakage after rectal cancer surgery is 1% ~ 21%, and the common reports are between 5% ~ 10%
The prophylactic stoma is believed to reduce the adverse consequences of anastomotic leakage after sphincter-preserving surgery for low rectal cancer, and can reduce the incidence of anastomotic leakage for reoperation, but the postoperative stoma and the secondary reurn operation brought great inconvenience and psychological pressure to the patients, and seriously affected the quality of life of the patients
Summary
Rectal cancer is one of the most common malignant tumors of the digestive system, and its incidence has been increasing year by year in the past 20 years, among which the low rectal cancer accounts for 70% ~ 80% of all rectal cancers.[1] With the introduction of total mesorectal resection (TME), the development of laparoscopic technology and the upgrading of medical equipment, patients with low/ultra-low rectal cancer have the opportunity to preserve the anus, but the probability of anastomotic leakage after preserving the anus is significantly increased It has been reported in the literature that the incidence of anastomotic leakage after rectal cancer surgery is 1% ~ 21%, and the common reports are between 5% ~ 10%.2. How to predict the low-risk population of anastomotic leakage more accurately, improve anastomosis and drainage, and reduce the prophylactic stoma of the low-risk population are the future efforts of colorectal surgeons
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