| Objective:To investigate the safety of the operation of laparoscopic-assisted rectalcarcinoma surgery, and to evaluate the clinical curative efficacy.Methods: From May1,2007to30June2012, in the in Department Gastrointestinal Surgery, Affiliated TumorHospital, Xinjiang Medical University, To retrospectively analyzed the clinical data oflaparoscopic assisted rectal carcinoma surgery excision in396patients. Results:Thewhole group average operation time was (214.29±42.78)min, the amount of bleeding for(58.69±25.36) ml during the operation, transit open rate9.34%(37/396), surgical resectionspecimen length (19.90±2.11)cm, distal cutting edge distance tumor distance(2.88±1.19)cm, cleaning the lymph node number (13.97±6.48)pieces, full set cases lowersection of277cases of colorectal cancer patients, ring weeks cutting edge by9.39%(26/277) cases. The postoperative complications rate was9.09%, anal exhaust(3.37±2.01)d, extract stomach tube (3.31±2.16)d, liquid diet (3.67±2.09)d, the first timeto out-of-bed activity time (2.28±1.63)d, normal diet time (8.68±3.60)d.Perioperativeappear the postoperative complications rate was9.09%(44/396).Different body massindex (BMI) index and the history of abdominal surgery is not influence intraoperativetransit open independent factors. According to the operation number for correlationanalysis,operation time, intraoperative transit open proportion and intraoperative bloodtransfusion proportion with the increase of operation number decreases, and cleaning thelymph node number increases with the increasing number with surgery (all P＜0.01).The first3years disease-free survival was80.4%,3year survival rate was87.5%.Conclusion: Laparoscopic-assisted rectal carcinoma surgery excision is safe, feasible,postoperative，the short-term outcome is satisfied. Different BMI and previous abdominalsurgeries are not independent factors influence transfer laparotomy along with the increaseof number operation, operation related indexes gradually improve. |
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