Abstract
The aim of this study was to establish the feasibility and efficiency of different pelvic drainage routes after laparoscopic abdominoperineal resection (LAPR) for rectal cancer by assessing short-term outcomes. Clinicopathological data of 76 patients undergoing LAPR for very low rectal cancer were reviewed retrospectively between June 2005 and June 2014. Outcomes were evaluated considering short- term results. Of 76 relevant patients at our institution in the period of study, trans-perineal drainage of the pelvic cavity was performed in 17 cases. Compared with the trans-perineal group, the length of hospital stay was shorter in the trans-abdominal group, while the duration of drainage and the infection rates of the perineal wounds between two groups showed no significant differences. The outcomes of this study suggest that trans-abdominal drainage of pelvic cavity is a reliable and feasible procedure, the duration of drainage, infection rates and the healing rates of the perineal wounds being acceptable. Trans-abdominal drainage has a more satisfactory effect after laparoscopic abdominoperineal resection for rectal carcinoma.
Highlights
Since 1982 when Heald et al (1982) and MacFarlane et al (1993) published their seminal paper, total mesorectal excision (TME) has been used as the gold standard for rectal cancer surgery.In recent decades, abdominoperineal resection (APR) is advocated the standard surgical procedure for very low rectal cancer
The outcomes of this study suggest that trans-abdominal drainage of pelvic cavity is a reliable and feasible procedure, the duration of drainage, infection rates and the healing rates of the perineal wounds being acceptable
Due to the the special anatomy that the rectal annual is located at the end of the digestive tract,there is a high occurrence of postoperative infection in patients with a radical rectal cancer surgery, especially in the abdominoperineal resection.When operated laparoscopic abdominoperineal resection, there are only several truca poke holes besides the stoma in the abdomen, which benefits the patients and keeps them avoiding abdominal incision infection caused by stoma feces contamination
Summary
Since 1982 when Heald et al (1982) and MacFarlane et al (1993) published their seminal paper, total mesorectal excision (TME) has been used as the gold standard for rectal cancer surgery.In recent decades, abdominoperineal resection (APR) is advocated the standard surgical procedure for very low rectal cancer. While in laparoscopic abdominoperineal resection,we could pass the drain tube through the laparoscopic abdominal port sites on the right side.This retrospective study compares these two forms of drainage in patients with rectal cancer undergoing laparoscopic abdominoperineal resection to clearify the feasibility and efficiency of different pelvic drainage routes with special regard to the duration of drainage and the length of hospital stay. The aim of this study was to establish the feasibility and efficiency of different pelvic drainage routes after laparoscopic abdominoperineal resection (LAPR) for rectal cancer by assessing short-term outcomes. Conclusions: The outcomes of this study suggest that trans-abdominal drainage of pelvic cavity is a reliable and feasible procedure, the duration of drainage, infection rates and the healing rates of the perineal wounds being acceptable. Trans-abdominal drainage has a more satisfactory effect after laparoscopic abdominoperineal resection for rectal carcinoma
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