Clinical study of laparoscopic radical resection for rectal cancer: a report of 56 cases

Abstract

Objective To share the experience of laparoscopic radical resection for rectal cancer from the aspects of surgical procedures, surgical techniques, fistulas and anastomosis. Methods From January 2015 to September 2016, the clinical data of fifty-six cases undergoing laparoscopic rectal cancer resection in Xinhua Hospital of Huainan City were analyzed retrospectively. Results The laparoscopic radical resection and anesthesia process were smooth in the 56 patients. There were 17 cases (30.36%), 35 cases(62.50%), and 4 cases(7.14%) performed by Miles, Dixon and Hartmann operation, respectively, including 6 cases of prophylactic terminal ileostomy in the Dixon group. The laparoscopic operation time was 120-230 (162±43) min, the amount of bleeding was 10-400 (74±50.5) ml. Postoperative pathology showed 19 cases in stage Ⅱ, 35 in stage Ⅲ, and 2 in stage Ⅳ. Postoperative complications found 2 (3.57%) of intestinal obstruction, 3 (5.36%) of incision infection, and 1 (1.78%) of pulmonary infection. All cases were cured and discharged. No recurrence was found after 12-34 months of follow-up. Conclusions The path and skills of laparoscopic colorectal cancer is not exactly the same. Following the basic principles and skills of tumor surgery, laparoscopic colorectal cancer surgery is safe, effective, minimally invasive, and precise. Key words: Rectal neoplasms; Laparoscopes; Colorectal surgery