Abstract:Objective: To study the safety and feasibility of laparoscopic TME with ultra-low sphincter-saving procedure for low rectal cancer.
Methods :The clinical data of laparoscopic TME with ultra-low sphincter-saving modified procedure for low rectal cancer in the recent three and a half years in our hospital were analysed retrospectively.
Results:Eighteen cases were selected in this study and all surgery was performed successfully. The average operative time was（165.2±45.6）min, the mean volume of bleeding was（146.7±84.5）mL, the volume of abdominal drainage was（170.1±47.2）mL, postoperative time of bowel gas passage was（3.1±0.7）d, postoperative hospital stay was（8.7±1.4）d, and the number of lymphnode dissection was（12.1±3.2）. 5 cases had increased frequency of stool and all these patients recovered to near normal within one year. No other complications, such as ureteral ingury, dysuresia, fecal incontinence, or anastomotic leakage, were experience.
Conclusions:This study shows that it is safe and feasible to perform laparoscopic TME with ultra-low sphincter-saving procedure for low rectal carcinoma, and with the advantage of minimal invasion.