Outcome of laparoscopic resection for rectal cancer through the data of 346 patients in 108 Military Central Hospital
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Abstract
Objective: To evaluate the results of laparoscopic rectal cancer resection. Subject and method: A cross-sectional, descriptive study, over 346 rectal cancer patients undergoing laparoscopic resection in 108 Military Central Hospital from June 2018 to October 2020. Result: Male/ female: 2.2/1, the mean age was 61.8 ± 11.9 years. The rate of neoadjuvant chemoradiation therapy (NCT) was 79.7%. Preoperative period I, II, III were 13.0%, 15.6%, 71.4%, respectively. Open surgical conversion rate of 2.6%. The mean operative time was 125.9 minutes, the mean blood loss was 63.9ml. The rate of Miles surgery in the middle and lower rectal cancer group with NCT was 20.2%. Postoperative stage 0, I, II, III were 17.5%, 56.4%, 9.1%, 17.0%, respectively. Average follow - up time 17.8 months. The rate of complication after surgery was 14%. The mortality rate was 2.6%. The rate of local recurrence was 4.3%. The rate of distal metastasis was 3.8%. Conclusion: The laparoscopic rectal cancer resection is feasible, safe, effective. Neoadjuvant chemoradiation therapy to reduce the tumor stage, to increase the rate of sphincter preservation.
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References
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