The experience of laparoscopic-assisted radical surgery for rectal cancer in primary hospital

Objective: To investigate the safety and feasibility of laparoscopic-assisted radical surgery for rectal cancer in primary hospital. Methods: The clinical data and operative methods of 32 patients with rectal cancer who received laparoscopic-assisted radical surgery from Jan. 2010 to Dec. 2012 were retrospectively analyzed. There were 19 males and 13 females with a median age of 56. 8 years old,the mean was( 56 ± 22) years old. There were 2,13,17 cases in Dukes stage A,B and C. Results: Thirty cases were successfully performed laparoscopic-assisted resection( 6 for Miles and 24 for Dixon),2 cases were converted to open surgery and the rate of laparoscopic-assisted resection was 93. 75%. The mean operation time was about( 180 ± 50) min and the mean blood loss was about( 200 ± 100) ml. The average post-operative convalescence time of intestinal peristalsis was( 48 ± 12) h. There were not operative complications such as hemorrhage or wound infection. There were 6 cases mild retention of urine and 4 cases anastomotic fistula. No patients died. The average hospital stay after surgery was( 8 ± 2) d. All patients were followed up for 1-12 months. Conclusions: On the basis of familiar anatomical structure and skilled laparoscopic technique,laparoscopic-assisted radical resection of rectal cancer is a safe,effective and minimally invasive approach in primary hospital,providing patients with a quick recovery.