ISSN: 1859 - 2872
Assessment of the result of laparoscopic intersphincteric resection for low rectal cancer
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Abstract
Objective: To assess the results of laparoscopic intersphincteric resection for low rectal cancer. Subject and method: Descriptive study of retrospective surgery for patients underwent laparoscopic for intersphincteric resection at the Department of Coloproctology, 108 Military Central Hospital from June 2018 to July 2019. Result: 44 patients (26 males, 18 females), average age was 62.7 ± 10.2 (40 - 82 years). The average distance from the bottom of the tumor to the anus: 4.5 ± 1.1cm (2.5 ± 6). Preoperative period 56.8% T4, 40.9% T3, 2.3% T2, 90.9% suspected metastatic lymph nodes. There were 18.2% of patients who did not have preoperative radiotherapy; 6.8% of radiotherapy for short-course; 75% of chemoradiotherapy for long-course. Stage after chemoradiotherapy: 54.5% T3, 45.5% T2, 27.3% suspected metastatic lymph nodes. There were 31.8% partial intersphincteric resection; 61.4% subtotal intersphincteric resection; 6.8% total intersphincteric resection. There were 9.1% of patients who lead the ileum. The average time of surgery was 152.6 minutes, the average a mount of blood lost was 57.7ml, the average length of hospital stay was 12.2 days. The cut off area was 100% negative, close to negative 100%, 100% negative circumference. The average number of lymph nodes removed: 5.6. Postoperative period 15.9% T0, 6.8% T1, 31.8% T2, 40.5% T3, 29.5% metastatic lymph nodes. Proportion of common complications: 18.2%. Six-month follow-up period: 1 patient recurrence; 1 patient metastatic liver. The assessed anal function according to Wexner score after surgery 1 month, 3 months and 6 months were 13.0 ± 3.8, 11.5 ± 4.9 and 9.1 ± 5.6. Conclusion: Laparoscopic intersphincteric resection for low rectal cancer was feasible, safe oncology result. Anal function improves with time.
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References
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