The value of colo-anal anastomoses with single-stapling in surgery without abdominal incision for rectal cancer

Abstract

Objective \nTo investigate the surgical technique, safety and clinical value of single-stapling anastomosis in 3D laparoscopy-assisted low anterior resection for rectal cancer without abdominal incision. \n \n \nMethods \nThe clinical data of 120 patients with low rectal cancer which 3D laparoscopy-assisted low anterior resection with single-stapling anastomosis without abdominal incision were performed from Jan. 2015 to Jan. 2017 in the gastrointestinal surgery department of the east hospital affiliated to Tongji University were retrospectively analyzed and the techniques、safety and clinical value of the surgery approach were summarized. \n \n \nResults \nAll patients were successfully performed the operation without conversion to open surgery. The operation time was (190.50±20.71) min, the intraoperative blood loss was (50.69±15.21) ml, the postoperative feeding time was (2.18±1.03) d, the postoperative hospital stay was (9.56±2.13) d, the postoperative distal and circumferential incised margins were negative, the postoperative anastomotic leakage was found in one patient and the bacterial culture of peritoneal washings were positive in two patients. The patients were followed up for one year, the anastomotic stenosis was found in one patient and no serious complications were found in other patients. \n \n \nConclusions \nThe selective applications of 3D laparoscopy-assisted low anterior resection with single-stapling anastomosis for rectal cancer without abdominal incision were safe and feasible. The surgery approach has clinical application value and is worthy of clinical promotion. \n \n \nKey words: \nRectal cancer;\xa0Single-stapling colo-anal anastomosis;\xa0Three- dimensional laparoscopy