|Table of Contents|

Comparison of effect of Lap-ISR and Lap-ISR with trans-anal pull-in telescopic anastomosis in anus-preserving operation for low rectal cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 04
Page:
681-686
Research Field:
Publishing date:

Info

Title:
Comparison of effect of Lap-ISR and Lap-ISR with trans-anal pull-in telescopic anastomosis in anus-preserving operation for low rectal cancer
Author(s):
ZHAO Lihua1; HUANG Qianpeng2; CHU Zhaozhen2; FU Zexian3; LI Lei2
1.Nursing Department；2.General Surgery Department,Affiliated Hospital of Hebei University of Engineering,Hebei Handan 056002，China;3.Office of Academic Research,Hebei University of Engineering,Hebei Handan 056038,China.
Keywords:
low rectal cancer; laparoscopic intersphincteric resection; telescope anastomosis
PACS:
R735.3
DOI:
10.3969/j.issn.1672-4992.2023.04.016
Abstract:
Objective:To investigate the clinical efficacy of laparoscopic intersphincteric resection (Lap-ISR) and laparoscopic intersphincteric resection with trans-anal pull-in telescopic anastomosis (Lap-ISR-TPTA) in the anal-preserving operation for low rectal cancer.Methods:In this retrospective cohort study,the clinical data of patients who underwent the radical resection of low rectal cancer with Lap-ISR or Lap-ISR-TPTA in our hospital from June 2016 to January 2021 were included.The following observation indicators were obtained and compared:Baseline data,perioperative indicators,pathological indicators,complications,postoperative anal function Wexner score and postoperative recurrence.Results:In this study,52 patients were enrolled and successfully finished surgery.They were divided into two groups based on surgical methods:The Lap-ISR group (32 patients) and the Lap-ISR-TPTA (20 patients).The baseline clinical data,operation time,intraoperative blood loss,number of lymph nodes and distance to inferior resection margin of tumor in two groups had no statistically significant differences (P>0.05).The overall incidence of complications after operation was not significantly different (P=0.885).The Wexner score of anal function between the two groups at 3 and 6 months after surgery had no significant differences (P>0.05).There was no significant difference in postoperative disease-free survival between the two groups (HR 1.86,95%CI:0.36~9.67,P=0.462).Conclusion:During anal-preserving radical resection of low rectal cancer,Lap-ISR-TPTA is safe since it prevents diverting stoma and does not raise the risk of anastomotic leaking.

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Memo

Memo:
河北省邯郸市科技局基金资助（编号：21422083352）；河北省卫健委基金资助（编号：20220652）
Last Update: 1900-01-01