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| Evaluation of Short and Long Term Efficacy of Laparoscopic Cylindrical Abdominoperineal Resection for Low Rectal Cancer |
| ZHANG Bin, LI Teng-teng, LIU Hao, et al |
| XuZhou Medical University , Xuzhou, Jiangsu, 221006 |
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Abstract 【Objective】To investigate the short and long term efficacy of laparoscopic cylindrical abdominoperineal resection for treatment of the low rectal cancer.【Methods】The clinical data of 80 patients with lower rectal cancer treated in the Department of Gastrointestinal Surgery of Affiliated Hospital of Xuzhou Medical University from February 2009 to February 2014 were analyzed retrospectively. Among them, 43 patients treated with laparoscopic cylindrical abdominoperineal resection were recorded as group A, and 37 patients treated with abdominal perineal resection were recorded as group B. The operation times, intraoperative blood loss, and postoperative intestinal exhaust, drainage tube removal and ambulation times were compared and analyzed between the two groups. The complications and the recurrence rate of the tumors after 3 months, 6 months and 1 years of operation and the mortality rates after 6 months, 1 year and 3 years of operation of the two groups were observed.【Results】The operation times of group A and group B had no significantly different (P>0.05), but the postoperative intestinal exhaust, drainage tube removal and ambulation times in the A group were significantly shorter than those in the B group (P<0.05). The intraoperative blood loss of the A group was significantly less than that of the B group (P<0.05). The total complication incidence rate of the A group was 6.98% (3/43), which was significantly lower than that of 32.43% (12/37) of the B group (P<0.05). There were no significant differences in the rates of local tumor recurrence at 3 and 6 months after operation between the two groups (P>0.05), or between the mortality rate after 6 months and 1 year after operation (P>0.05). However, he local tumor recurrence rate after 1 year of operation and mortality rate after 3 years of operation in the A group were significantly lower than those in the B group (P<0.05).【Conclusion】Laparoscopic cylindrical abdominoperineal resection for the treatment of patients with low rectal cancer can obviously reduce surgical injury, reduce complications, reduce tumor recurrence rate and mortality rate.
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Received: 13 November 2017
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2018, Vol. 35 
