Laparoscopic Partial or Subtotal Intersphincteric Resection for Lower Rectal Cancer

Abstract

Objective to investigate the treatment probability of laparoscopic partial or subtotal intersphincteric resection for ultra-low rectal cancer. Clinical data of 14 patients with ultra-low rectal cancer who have underwent laparoscopic partial or subtotal intersphincteric resection between January 2013 and February 2014 in gastrointestinal surgery was collected. Clinical application effect of laparoscopic partial or subtotal intersphincteric resection for ultra-low rectal cancer was analyzed.Results: Among all the cases, nobody got peri-operative death, one patient got partial anastomotic crack a week after operation and another patient got 12 days postoperative anastomotic fistula, both of whom cured through conservative treatment. During the 6- 54-month follow-up, there was 1 case of local recurrence after 6 months of operation. The anal functions of all patients turned out to be in Kirwan class 1 or 2 and 1 patient got anastomotic stenosis, who required regular expansion treatment. Conclusion Laparoscopic partial or subtotal intersphincteric resection for ultra-low rectal cancer was a safe and possible operational method. Keywords: Intersphincteric resection; Laparoscopic surgery; Rectal cancer.