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| Effect of Laparoscopic Assisted Transanal Total Mesorectal Excision on the Prognosis of Patients with Advanced Middle and Low Rectal Cancer |
| ZHONG Guang-jun, LIU Chun-hua, PAN Sheng-hua, et al |
| People's Hospital of Baoying County,Jiangsu Yangzhou 225800 |
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Abstract 【Objective】To investigate the effect of laparoscopic assisted total mesorectal excision on the prognosis of patients with advanced middle and low rectal cancer.【Methods】A total of 120 patients with advanced middle and low rectal cancer in our hospital were divided into control group (n=60, total mesorectal excision) and observation group (n=60, laparoscopic assisted total mesorectal excision) according to different treatment methods. Two groups of patients were compared in terms of surgical related indicators, postoperative KPS score, incidence of complications, and prognosis. 【Results】Compared with the control group, the observation group had shorter surgical time and first postoperative exhaust time, while the observation group had less intraoperative bleeding than the control group (P<0.05). After treatment, the KPS scores of both groups of patients improved compared to before treatment, and the KPS scores of the observation group were higher than those of the control group (P<0.05). The total incidence of complications during the treatment period in the observation group was 5.00% (3/60), lower than the 16.67% (10/60) in the control group (P<0.05). The distant metastasis rate and local recurrence rate of the observation group were 3.33% (2/60) and 1.67% (1/60), both lower than the control group's 13.33% (8/60) and 11.67% (7/60), and the differences between the two groups were statistically significant (both P<0.05). 【Conclusion】Laparoscopic assisted transanal total mesorectal excision has a good effect, which is conducive to promoting the rehabilitation of patients with advanced middle and low rectal cancer, further improving their quality of life, and reducing the incidence of complications, distant metastasis and local recurrence.
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Received: 28 March 2023
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2023, Vol. 40 
