Laparoscopic Low and Ultra - Low Anterior Resections: A Retrospective Analysis of 50 Sphincter Saving Procedures

Abstract

Aim of work: To evaluate the role of the laparoscopic techniques in the resection of low rectal cancers Patients and methods: From July 2013 to September 2016 in Ain Shams University Hospitals, review of retrospectively collected data of 50 laparoscopic resections for low rectal cancer was done (low and ultra- low resection). Operation time, intra-operative blood loss, surgical complications, duration of hospital stay, retrieved lymph nodes, tumour, node, metastasis (TNM) stage and their follow up in outpatient department (OPD) were analysed. Results: Forty four patients completed laparoscopic resections without conversion to open surgeries, 3 patients had minor leak from the staple line, 4 patients had anal stenosis and free distal margin was obtained in 95.5%. Conclusion: Laparoscopic anterior resection for low rectal cancer is feasible and can be performed safely with acceptable rates of overall postoperative morbidity and low rates of specific complications.